Cooper, Dale Keith

Cooper, Dale Keith is an sole proprietor health care provider with primary practice located at 5208 W Avalon Dr , Phoenix AZ 85031-3958. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as his primary health care specialty. Cooper, Dale Keith can be contacted via phone (623) 271-9011.

Contact Information

Primary practice address
5208 W Avalon Dr Phoenix AZ 85031-3958
Phone: (623) 271-9011
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1184244634
LBN Legal business name Cooper, Dale Keith
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 24th, 2020
Last updated Apr 24th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers