Koegel Autism Consultants

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

5362 Issued in CA

Legal business name

KOEGEL AUTISM CONSULTANTS

Practice address

5290 Overpass Rd
Goleta, CA 93111-2042

Phone

(805) 967-6147

NPI assigned

Mar 22, 2012

Last updated

Mar 22, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lynn Koegel, DR.NPI 1104191022

Title

Clinical Director

Phone

(805) 893-2049

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lynn Koegel

  • Speech-Language Pathologist
  • Santa Barbara, CA
  • NPI 1104191022
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1332374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332374400000",
    "number": "1205102381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "KOEGEL AUTISM CENTER GGSE UCSB",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931069490",
            "telephone_number": "805-893-2049",
            "fax_number": "805-893-2658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5290 OVERPASS RD",
            "city": "GOLETA",
            "state": "CA",
            "postal_code": "931112042",
            "telephone_number": "805-967-6147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOEGEL AUTISM CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-22",
        "last_updated": "2012-03-22",
        "status": "A",
        "authorized_official_last_name": "KOEGEL",
        "authorized_official_first_name": "LYNN",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "805-893-2049",
        "authorized_official_credential": "DR."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "5362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jesse Gawsung Kim, DDS
• Soo Yeon Kim
• Sheyenne Mikaela Kirchoff
• Jennifer Ilene Klee-Bienstock, PT
• Anselm Lucien Knecht
• Megan Michele Kotlarz, APN-CNP
• Jennifer Koumaras, D.D.S.
• Sophia Kramer
• Richard Kraut
• Kareena C Kumar

• Behavior Analyst in Goleta, CA
• Providers in Goleta, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.