Dr Clarence Cooper, EDD, BCBA is a
Behavior Analyst based in Port St Lucie, Florida. Dr Clarence Cooper is licensed to practice in * (Not Available) (license number 1-24-70821) and his current practice location is
1645 Se Port St Lucie Blvd, Port St Lucie, Florida. He can be reached at his office (for appointments etc.) via phone at
(772) 773-1975.
NPI number for Dr Clarence Cooper is 1033501911 and his current mailing address is 4620 N State Road 7 Ste 300, Lauderdale Lakes, Florida. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1033501911.
Healthcare Provider's Profile
Full Name | Dr Clarence Cooper |
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Gender | Male |
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Speciality | Behavior Analyst |
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Location | 1645 Se Port St Lucie Blvd, Port St Lucie, Florida |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1033501911
- Provider Enumeration Date: 03/02/2015
- Last Update Date: 02/26/2024
Medical Identifiers
Medical identifiers for Dr Clarence Cooper such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1033501911 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
106S00000X | Behavior Technician | (* (Not Available)) | Secondary |
171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
103K00000X | Behavior Analyst | 1-24-70821 (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Clarence Cooper is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Clarence Cooper, EDD, BCBA 4620 N State Road 7 Ste 300, Lauderdale Lakes, FL 33319-5867 Ph: (561) 323-6593 | Dr Clarence Cooper, EDD, BCBA 1645 Se Port St Lucie Blvd, Port St Lucie, FL 34952-5428 Ph: (772) 773-1975 |
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