Carolyn M Cooper, BA is a
Behavior Technician based in Fairbanks, Alaska. Carolyn M Cooper is licensed to practice in * (Not Available) (license number ) and her current practice location is
926 Aspen St, Fairbanks, Alaska. She can be reached at her office (for appointments etc.) via phone at
(907) 371-1300.
NPI number for Carolyn M Cooper is 1366757106 and her current mailing address is 4020 Folker St, Anchorage, Alaska. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1366757106.
Healthcare Provider's Profile
| Full Name | Carolyn M Cooper |
|---|
| Gender | Female |
|---|
| Speciality | Behavior Technician |
|---|
| Location | 926 Aspen St, Fairbanks, Alaska |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1366757106
- Provider Enumeration Date: 08/17/2010
- Last Update Date: 06/10/2022
Medical Identifiers
Medical identifiers for Carolyn M Cooper such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1366757106 | NPI | - | NPPES |
| MH0157 | Medicaid | AK | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 106S00000X | Behavior Technician | (* (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. Carolyn M 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 |
|---|
Carolyn M Cooper, BA
4020 Folker St,
Anchorage, AK 99508-5321
Ph: (907) 563-1000 | Carolyn M Cooper, BA
926 Aspen St,
Fairbanks, AK 99709-5501
Ph: (907) 371-1300 |
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