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LARISSA FEDRA KOUTAKOS
NPI 1245866011
Behavior Analyst in Marina, CA

Active since March 12, 2020
3180 IMJIN RD STE 149, MARINA, CA 93933(831) 786-0600 Get Directions Write a Review

NPPES record last updated: January 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 21, 2022, Mar 12, 2020 (2 updates tracked since 2020).

About Larissa Fedra Koutakos NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LARISSA FEDRA KOUTAKOS (NPI 1245866011) is an individual behavior analyst provider in Marina, California, licensed in (1-15-20710) and active in the NPI registry since March 2020.

NPPES Registry Identity

NPI1245866011
Entity TypeIndividualFemale
Primary Taxonomy103K00000X
Provider Legal NameLARISSA FEDRA KOUTAKOS
Location Address3180 IMJIN RD STE 149Marina, CA 93933-5111
Mailing Address3180 Imjin Rd Ste 149Marina, CA 93933-5111
Phone(831) 786-0600
Sole ProprietorNo
Enumeration DateMarch 12, 2020
Last NPPES UpdateJanuary 21, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 21, 2022
✔ NPI 1245866011 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
License✔ Licensed · 1-15-20710
Definition
A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.
3180 IMJIN RD STE 149, Marina, CA 93933
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

QING SU
Behavior Analyst
3180 IMJIN RD STE 149
MARINA, CA 93933
Monterey County (831) 786-0600
MS. JUDITH FRIEDA KRIEGER MA
Speech-Language Pathologist
3180 IMJIN RD STE 149
MARINA, CA 93933
Monterey County (831) 786-0600
JAMES J. POTTER RBT
Behavior Technician
3180 IMJIN RD STE 149
MARINA, CA 93933
Monterey County (831) 786-0600
AMY ELIZABETH ADAMS BCABA; LMFT
Marriage & Family Therapist
3180 IMJIN RD STE 149
MARINA, CA 93933
Monterey County (831) 786-0600
DANIEL JUAREZ BS, RBT
Behavior Technician
3180 IMJIN RD STE 149
MARINA, CA 93933
Monterey County (831) 786-0600
ANNE WORMALD
Behavior Analyst
3180 IMJIN RD STE 149
MARINA, CA 93933
Monterey County (831) 786-0600
MADISON ANN NEUMANN
Behavior Analyst
3180 IMJIN RD STE 149
MARINA, CA 93933
Monterey County (831) 786-0600
AMBER JEAN CASTAGNA MA BCBA
Behavior Analyst
3180 IMJIN RD STE 149
MARINA, CA 93933
Monterey County (209) 968-5513

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Larissa Koutakos's NPI number?

The NPI number for Larissa Koutakos is 1245866011. It was assigned to this individual provider in the NPPES registry on March 12, 2020.

Where is Larissa Koutakos located?

Larissa Koutakos practices at 3180 Imjin Rd Ste 149, Marina, CA 93933. The listed phone number is (831) 786-0600.

What is Larissa Koutakos's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

When was this NPI record last updated?

The NPPES record for Larissa Koutakos was last updated on January 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.