Charles Cooke Jr.

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

300 NW Cashmere Blvd
Port St Lucie, FL 34986-1969

Phone

(772) 344-5982

NPI assigned

Mar 29, 2023

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1680048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680048000000",
    "number": "1194429589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "572 NW LA BREA AVE",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349838703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 NW CASHMERE BLVD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349861969",
            "telephone_number": "772-344-5982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOKE",
        "first_name": "CHARLES",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-29",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lawrence G Conte
• Ismael Noah Contreras
• Ashley Noelle Cook, LCSW
• Michael Gerard Cook, D.M.D.
• Tyler Brandon Cook
• Steven G Cooper, CRNA
• Consuelo Copete
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• Behavior Technician in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.