Angela Elaine Cooper

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

4450 Rivanna River Way # 4615
Fairfax, VA 22030-4441

Phone

(757) 389-2462

NPI assigned

Dec 1, 2021

Sex

Female

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": "1638316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638316800000",
    "number": "1336807999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4450 RIVANNA RIVER WAY # 4615",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220304441",
            "telephone_number": "757-389-2462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4450 RIVANNA RIVER WAY # 4615",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220304441",
            "telephone_number": "757-389-2462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "ANGELA",
        "middle_name": "ELAINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-01",
        "last_updated": "2021-12-01",
        "certification_date": "2021-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara A Cook, OTR/L, CHT
• Jennifer Cooke, ATC
• Sheila Kathleen Cooke, CRNA
• Emily Cookson, VATL, ATC, NREMT
• Nicole M Cooley, LCSW, BCD
• Jennifer Cooper
• Mary H Cooper, LCSW
• Kaitlyn Coots, LPC
• Margaret Coots
• Kimberly Copeland

• Behavior Analyst in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Behavior Analyst in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2021; 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.