Provider Demographics
NPI:1598526949
Name:ALBRECHT, COBY JEFFERSON
Entity Type:Individual
Prefix:
First Name:COBY
Middle Name:JEFFERSON
Last Name:ALBRECHT
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2529 RIO GRANDE ST APT 27
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78705-4506
Mailing Address - Country:US
Mailing Address - Phone:830-302-0909
Mailing Address - Fax:
Practice Address - Street 1:2529 RIO GRANDE ST APT 27
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78705-4506
Practice Address - Country:US
Practice Address - Phone:830-302-0909
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-22
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst