LARISSA FEDRA KOUTAKOS

MARINA, CA
NPI1245866011
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103K00000X Behavior Analyst
(Licence:   1-15-20710)
Enumeration Date2020-03-12
Last Update Date2022-01-21
Business Address
LARISSA FEDRA KOUTAKOS
3180 IMJIN RD STE 149
MARINA, CA 93933-5111
Phone number: 831-786-0600
Mailing Address
LARISSA FEDRA KOUTAKOS
3180 IMJIN RD STE 149
MARINA, CA 93933-5111
Phone number:
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