MADELINE KOP

SAN DIEGO, CA
NPI1588251623
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Additional Taxonomies106S00000X Behavior Technician
(Licence: CA  RBT-20-147874)
Enumeration Date2020-12-23
Last Update Date2021-04-28
Business Address
MADELINE KOP
734 10TH AVE
SAN DIEGO, CA 92101-6502
Phone number: 619-239-4663
Mailing Address
MADELINE KOP
734 10TH AVE
SAN DIEGO, CA 92101-6502
Phone number: 619-239-4663