Healthcare Provider Details

I. General information

NPI: 1295649812
Provider Name (Legal Business Name): BRITNEY COOPER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7333 WHITEPINE RD
RICHMOND VA
23237-2260
US

IV. Provider business mailing address

10231 SALEM OAKS DR
NORTH CHESTERFIELD VA
23237-3852
US

V. Phone/Fax

Practice location:
  • Phone: 804-638-0566
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: