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NPI Code Detail

MEDICARE: ERIN COOK M.A., B.C.B.A

MEDICARE:   ERIN  COOK  M.A., B.C.B.A
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
1103K00000XBehavior AnalystBA-109AZ
2103K00000XBehavior Analyst1-12-12478

General Provider Information

NPI Number : 1033463070
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIN COOK M.A., B.C.B.A
Provider Business Mailing Address
First Line : 1812 W MONROE ST
Second Line :
City : PHOENIX
State : AZ
Zip : 85007-2616
Country : US
Telephone Number : 602-513-3259
Fax Number :
Provider Business Practice Location Address
First Line : 1812 W MONROE ST
Second Line :
City : PHOENIX
State : AZ
Zip : 85007-2616
Country : US
Telephone Number : 623-261-7263
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/29/2012
Last Update Date : 10/11/2024

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Directions to “ ERIN COOK M.A., B.C.B.A” Practice Location

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