Raquel Cooper

Individual provider Active NPI Behavior Technician · Simi Valley, CA

NPI 1447082383 · NPPES record last updated Aug 19, 2024

Key facts

NPI
1447082383
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
1900 E Los Angeles Ave Ste 100
Simi Valley, CA 93065-6560
Phone
(805) 537-0620
NPI assigned
Aug 19, 2024
Sex
Female
Sole proprietor
No

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)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

1900 E Los Angeles Ave Ste 100
Simi Valley, CA 93065-6560

Mailing address

5850 Granite Pkwy Ste 600
Plano, TX 75024-6753

Other providers in Simi Valley, CA

All providers in Simi Valley, CA · Behavior Technician in California

Sources for this page

Verify at the official NPI Registry.