Individual provider · Type 1 NPI

Jerome Anthony Coppage Jr., BCBA 1-21-55996

Behavior Analyst · Menifee, CA

NPI number 1780141630 Active

Practice location

30073 Via Amante
Menifee, CA 92584-8910

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XRBT-16-4282-36534 (CA)
Behavior Technician 106S00000XNone listed
Behavior Analyst Primary 103K00000X1-21-55996 (CA)

Behavior Analyst: A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis…

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About NPI 1780141630

Jerome Anthony Coppage Jr., BCBA 1-21-55996's National Provider Identifier is 1780141630, issued on Feb 27, 2019. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in Menifee, CA. The record was last updated on Jan 26, 2022.