Individual
CHISATO KOMATSU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA-D, PH.D.
Contact information
Practice address
10736 JEFFERSON BLVD # 1046, CULVER CITY, CA 90230-4933
(323) 285-2221
Mailing address
6210 BRISTOL PKWY APT 206, CULVER CITY, CA 90230-6925
(213) 407-9048
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-08-4103
—
103T00000X
Psychologist
28666
CA
103TC0700X
Clinical Psychologist
Primary
28666
CA
Other
Enumeration date
02/06/2012
Last updated
03/24/2025
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