Larissa Fedra Koutakos

NPI #1245866011 in Marina, California

Provider Information

NPI Number: 1245866011
Entity Type: Individual
Name: Larissa Fedra Koutakos
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Enumeration Date: Mar 12, 2020
Last Updated: Jan 21, 2022

Practice Location

Address: 3180 IMJIN RD STE 149
City: Marina
State: California
ZIP Code: 93933-5111
Phone: (831) 786-0600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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