Organization
KOEGEL AUTISM CENTER
Active
Organization
KOEGEL AUTISM CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNA KRASNO PHD (CLINICAL DIRECTOR)
(805) 893-3825
Entity
Organization
Contact information
Practice address
KOEGEL AUTISM CENTER, SANTA BARBARA, CA 93106-0001
(805) 893-2049
Mailing address
KOEGEL AUTISM CENTER, SANTA BARBARA, CA 93106-0001
(805) 893-2049
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
PSY28483
CA
106S00000X
Behavior Technician
—
—
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
02/27/2018
Last updated
02/27/2018
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