Michael Cooper
Individual provider Active NPI Behavior Analyst · North Las Vegas, NV
NPI 1043764079 · NPPES record last updated Aug 8, 2016
Key facts
- NPI
- 1043764079
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- Practice address
- 4345 Corporate Center Dr
North Las Vegas, NV 89030-7550 - Phone
- (512) 743-0243
- NPI assigned
- Aug 8, 2016
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Yes |
Addresses
Primary practice location
4345 Corporate Center Dr
North Las Vegas, NV 89030-7550
Mailing address
4345 Corporate Center Dr
North Las Vegas, NV 89030-7550
Other providers in North Las Vegas, NV
- Jean Cooksey
- Linnetta Ruth Cooley
- Cassie Coon
- Gloria Cooper
- Guy Calderon Cooper
- Michael Cooper
- Taylor Nicole Cooper
- Tevana Ann Cooper
- Jeff Copas
- Theresa Copas
All providers in North Las Vegas, NV · Behavior Analyst in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 8, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.