CODY COOPER

ROCKFORD, IL
NPI1588154629
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy106S00000X Behavior Technician
(Licence: IL  17-37310)
Enumeration Date2018-05-15
Last Update Date2018-05-15
Business Address
CODY COOPER RBT
3433 DEER PATH RD
ROCKFORD, IL 61107-1110
Phone number: 815-319-8867
Mailing Address
CODY COOPER RBT
3433 DEER PATH RD
ROCKFORD, IL 61107-1110
Phone number: 815-319-8867
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