Individual
CHARISSA M. KNIHTILA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
569 STURGEON DR, COSTA MESA, CA 92626-3112
(949) 355-5936
Mailing address
569 STURGEON DR, COSTA MESA, CA 92626-3112
(949) 355-5936
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-12-12625
CA
Other
Enumeration date
08/24/2009
Last updated
12/05/2012
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