Basic Information
| Provider Information | |||||||||
| NPI: | 1558809939 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | KOCHER | ||||||||
| FirstName: | DENA | ||||||||
| MiddleName: | A | ||||||||
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| Credential: | BCBA, MA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 31344 VIA COLINAS | ||||||||
| Address2: | SUITE 108 | ||||||||
| City: | WESTLAKE VILLAGE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 913623912 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8053793212 | ||||||||
| FaxNumber: | 8003479660 | ||||||||
| Practice Location | |||||||||
| Address1: | 31344 VIA COLINAS | ||||||||
| Address2: | SUITE 108 | ||||||||
| City: | WESTLAKE VILLAGE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 913623912 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8053793212 | ||||||||
| FaxNumber: | 8003479660 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/06/2017 | ||||||||
| LastUpdateDate: | 02/08/2017 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 103K00000X | 1-15-20550 | CA | Y | Behavioral Health & Social Service Providers | Behavioral Analyst |
No ID Information.