Individual
MRS. ASPASIA KOUTZMBIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
2445 TRUXTUN RD, SAN DIEGO, CA 92106-6153
(619) 633-2119
Mailing address
2445 TRUXTUN RD, SAN DIEGO, CA 92106-6153
(619) 633-2119
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
CA
106S00000X
Behavior Technician
—
CA
Other
Enumeration date
05/03/2023
Last updated
05/03/2023
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