Cooper, Maryah

Cooper, Maryah is an individual health care provider with primary practice located at 600 Lake Hollingsworth Dr , Lakeland FL 33803-2364. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Assistant Behavior Analyst, Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Cooper, Maryah can be contacted via phone (863) 665-7300.

Contact Information

Primary practice address
600 Lake Hollingsworth Dr Lakeland FL 33803-2364
Phone: (863) 665-7300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1699279919
LBN Legal business name Cooper, Maryah
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2018
Last updated Nov 21st, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1699279919 NPPES
Florida MEDICAID 024366800

Popular Providers