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Kira T Brock-Cooper

Individual provider Active NPI Behavior Technician · Drexel Hill, PA

NPI 1801673298 · NPPES record last updated Sep 11, 2023

Key facts

NPI
1801673298
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
1072 Pontiac Rd
Drexel Hill, PA 19026-4817
Phone
(484) 393-4107
Fax
(484) 231-8631
NPI assigned
Sep 11, 2023
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Helping Hands Family Pennsylvania LLC Current
since Sep 17, 2023		 Accepting new patients
Helping Hands Family Pennsylvania LLC Past
since Sep 17, 2023		 Accepting new patients

Locations

1072 Pontiac Rd
Drexel Hill, PA 19026
Phone (484) 975-0680

640 Freedom Business Ctr Dr
Ste 220
King of Prussia, PA 19406
Phone (484) 653-7874

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

1072 Pontiac Rd
Drexel Hill, PA 19026-4817

Mailing address

640 Freedom Business Ctr Dr Ste 220
King of Prussia, PA 19406-1376
Phone (484) 393-4107

Other providers in Drexel Hill, PA

All providers in Drexel Hill, PA · Behavior Technician in Pennsylvania

Sources for this page

Verify at the official NPI Registry.