Kimberly Coppa

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-20-44192 Issued in NU

Practice address

16201 E Indiana Ave Ste 3400
Spokane Valley, WA 99216-2830

Phone

(509) 900-3669

NPI assigned

May 31, 2023

Last updated

May 31, 2023By the provider in NPPES

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Daisy Hope Behavioral Services LLC

  • Early Intervention Provider Agency
  • Coeur d'Alene, ID
  • NPI 1558029322
  NPD Authorized official
• Unlimited Possibilities ABA, LLC

  • Early Intervention Provider Agency
  • Coeur d'Alene, ID
  • NPI 1518686286
  NPD Authorized official

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

{
    "created_epoch": "1685491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685491200000",
    "number": "1740973213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3254 N 10TH ST",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838155060",
            "telephone_number": "298-242-8839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16201 E INDIANA AVE STE 3400",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992162830",
            "telephone_number": "509-900-3669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPPA",
        "first_name": "KIMBERLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-31",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": "1-20-44192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Denise Cooney, FNP-BC
• Megan Coonrod
• Alicia Cooper
• Alysha Brooke Cooper
• Thomas Bryant Cooper
• Maiya Copple
• Christa A Copus
• Holly Renee Cordero
• Holly C Corigliano
• Cornerstone Physiatry, PLLC

• Behavior Analyst in Spokane Valley, WA
• Providers in Spokane Valley, WA by specialty
• Behavior Analyst in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 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.