Healthcare Provider Details

I. General information

NPI: 1457287450
Provider Name (Legal Business Name): COOPERSKI INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/18/2026
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19772 MACARTHUR BLVD STE 200
IRVINE CA
92612-2405
US

IV. Provider business mailing address

PO BOX 2842
COSTA MESA CA
92628-2842
US

V. Phone/Fax

Practice location:
  • Phone: 949-784-9853
  • Fax:
Mailing address:
  • Phone: 949-784-9853
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: MR. JOSH COOPER
Title or Position: CEO
Credential:
Phone: 949-784-9853