Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacob Cooper

Individual provider Behavior Technician · NPI 1043016488

Jacob Cooper is a Behavior Technician in Chicago, Illinois. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

12122 S Indiana Ave
Chicago, IL 60628-6737
Phone: (847) 890-8548
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1043016488
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 24, 2025
Last updated in NPPESFebruary 24, 2025
Certification dateFebruary 24, 2025
Mailing address12122 S Indiana Ave, Chicago, IL 60628-6737

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