Individual
MR. CHRISTIAN GREY KOLB II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, BCAT
Contact information
Practice address
3186 AIRWAY AVE STE A, COSTA MESA, CA 92626-4650
(741) 881-0427
(714) 327-0673
Mailing address
3186 AIRWAY AVE STE A, COSTA MESA, CA 92626-4650
(741) 881-0427
(714) 327-0673
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/30/2020
Last updated
11/30/2020
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