Paul Cooper

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1880 Issued in NC

Practice address

2812 Commerce Rd
Jacksonville, NC 28546-8113

Phone

(484) 687-3430

NPI assigned

Sep 18, 2021

Last updated

Jul 29, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1631923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1285304402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 DIANE DR",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285400903",
            "telephone_number": "484-687-3430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2812 COMMERCE RD",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285468113",
            "telephone_number": "484-687-3430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "PAUL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-18",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NC",
            "license": "1880",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "MA",
            "license": "RBT-21-173245",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Candace Faith Cook
• Jacqueline Gale Cook
• Stephanie Cooke, BCBA, LBA NC
• Shawandalyn Latrelle Cooley, LCSW
• Andrea Cooper, MS, LCMHC
• Coordinated Health Services, Inc.
• Rachel Copelan
• Olivia Marie Corallo, MS, LCAS-A, LCMHC-A
• Katelyn Marie Corderman, DPT
• Rachel Cordero

• Behavior Analyst in Jacksonville, NC
• Providers in Jacksonville, NC by specialty
• Behavior Analyst in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; 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.