Larissa Fedra Koutakos
Larissa Fedra Koutakos is a Behavior Analyst in Marina, California. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
3180 Imjin Rd Ste 149Marina, CA 93933-5111
Phone: (831) 786-0600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Analyst (primary) | Taxonomy 103K00000X · Licence 1-15-20710 |
|---|
Record details
| NPI number | 1245866011 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | March 12, 2020 |
| Last updated in NPPES | January 21, 2022 |
| Certification date | January 21, 2022 |
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