Gerron Cooper, BCBA
Individual provider Active NPI Behavior Analyst · Washington, DC
NPI 1164022661 · NPPES record last updated Feb 13, 2026
Key facts
- NPI
- 1164022661
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 0133001793 (VA)
- Practice address
- 3814 12TH St NE
Washington, DC 20017-2630 - Phone
- (202) 469-4031
- NPI assigned
- Oct 26, 2020
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0133001793 | VA | MD | Behavioral Analyst |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 0133001793 | VA | Yes |
Addresses
Primary practice location
3814 12TH St NE
Washington, DC 20017-2630
Mailing address
1575 Anderson Rd Apt 1306
MC Lean, VA 22102-1633
Phone (703) 541-8080
Other providers in Washington, DC
- Danielle Cooper
- David E Cooper
- Dizona Denise Cooper
- Emily Cooper
- Erica Cooper
- Herchula Cooper
- Ivy Cooper
- James Cooper
- Jasmine Cooper
- Joseph Benton Cooper
All providers in Washington, DC · Behavior Analyst in District of Columbia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 13, 2026. 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.