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NPI Code Detail

MEDICARE: CHANCE COOPER WOODS

MEDICARE: CHANCE COOPER WOODS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1285395608
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHANCE COOPER WOODS
Provider Business Mailing Address
First Line : PO BOX 8544
Second Line :
City : PASADENA
State : CA
Zip : 91109-8602
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2155 CHICAGO AVE STE 203
Second Line :
City : RIVERSIDE
State : CA
Zip : 92507-2209
Country : US
Telephone Number : 951-357-6926
Fax Number : 855-568-2494
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/07/2022
Last Update Date : 04/20/2026

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Directions to “ CHANCE COOPER WOODS ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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