Provider Demographics
NPI:1558809939
Name:KOCHER, DENA A (BCBA, MA)
Entity Type:Individual
Prefix:
First Name:DENA
Middle Name:A
Last Name:KOCHER
Suffix:
Gender:F
Credentials:BCBA, MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31344 VIA COLINAS
Mailing Address - Street 2:SUITE 108
Mailing Address - City:WESTLAKE VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91362-3912
Mailing Address - Country:US
Mailing Address - Phone:805-379-3212
Mailing Address - Fax:800-347-9660
Practice Address - Street 1:31344 VIA COLINAS
Practice Address - Street 2:SUITE 108
Practice Address - City:WESTLAKE VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91362-3912
Practice Address - Country:US
Practice Address - Phone:805-379-3212
Practice Address - Fax:800-347-9660
Is Sole Proprietor?:No
Enumeration Date:2017-02-06
Last Update Date:2017-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1-15-20550103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst