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NPI Code Detail

MEDICARE: SHANICE LANEE' COOPER

MEDICARE: SHANICE LANEE' COOPER
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 : 1588517197
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHANICE LANEE' COOPER
Provider Business Mailing Address
First Line : 8237 VICELA DR
Second Line :
City : SARASOTA
State : FL
Zip : 34240-1462
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8237 VICELA DR
Second Line :
City : SARASOTA
State : FL
Zip : 34240-1462
Country : US
Telephone Number : 800-210-0814
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/16/2026
Last Update Date : 02/16/2026

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Directions to “ SHANICE LANEE' COOPER ” Practice Location

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