Provider Demographics
NPI:1467151332
Name:KOKOO, SIERRA K
Entity type:Individual
Prefix:
First Name:SIERRA
Middle Name:K
Last Name:KOKOO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 STATE RD
Mailing Address - Street 2:
Mailing Address - City:DARTMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02747-3317
Mailing Address - Country:US
Mailing Address - Phone:508-225-6632
Mailing Address - Fax:
Practice Address - Street 1:5 STATE RD
Practice Address - Street 2:
Practice Address - City:DARTMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02747-3317
Practice Address - Country:US
Practice Address - Phone:508-225-6632
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-28
Last Update Date:2025-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician