Provider Demographics
NPI:1598519225
Name:COGLEAP CENTER FOR ACHIEVEMENT INC
Entity Type:Organization
Organization Name:COGLEAP CENTER FOR ACHIEVEMENT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF ABA PROGRAMMING
Authorized Official - Prefix:DR
Authorized Official - First Name:ALBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:KNAPP
Authorized Official - Suffix:JR
Authorized Official - Credentials:PSYD, BCBA-D, RPT-S
Authorized Official - Phone:949-418-8889
Mailing Address - Street 1:950 ROOSEVELT FL 2
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92620-3664
Mailing Address - Country:US
Mailing Address - Phone:949-418-8889
Mailing Address - Fax:949-776-4672
Practice Address - Street 1:950 ROOSEVELT FL 2
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92620-3664
Practice Address - Country:US
Practice Address - Phone:949-418-8889
Practice Address - Fax:949-776-4672
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-17
Last Update Date:2024-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty