Cooper, Larette Denise
Cooper, Larette Denise is an sole proprietor health care provider with primary practice located at 4277 65Th Pl , Woodside NY 11377-5054. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Cooper, Larette Denise can be contacted via phone (516) 755-7878.Contact Information
Primary practice address
4277 65Th Pl
Woodside NY 11377-5054
Phone: (516) 755-7878
Fax: (718) 334-0057
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1700421674 |
|---|---|
| LBN Legal business name | Cooper, Larette Denise |
| Credentials | Bachelor of Arts (BA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 14th, 2019 |
| Last updated | Nov 14th, 2019 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700421674 | NPPES |
| New York | Other | 418588239 | DRIVER'S LICENSE |
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