Individual
ANDREA COGGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
545 LAUREL ST, SAN DIEGO, CA 92101-1634
(619) 233-4399
Mailing address
545 LAUREL ST, SAN DIEGO, CA 92101-1634
(619) 233-4399
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
F7720557
CA
Other
Enumeration date
11/28/2023
Last updated
08/19/2025
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