Individual
YAJAIRA SARAI COGHLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
7373 UNIVERSITY AVE STE 116, LA MESA, CA 91942-0523
(619) 991-4499
(619) 639-2527
Mailing address
7373 UNIVERSITY AVE STE 116, LA MESA, CA 91942-0523
(619) 991-4499
(619) 639-2527
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
RBT-25-482812
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16691113
CAQH
CA
Enumeration date
11/26/2025
Last updated
11/26/2025
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