Provider Demographics
NPI:1851261978
Name:CENTRAL COAST ABA
Entity type:Organization
Organization Name:CENTRAL COAST ABA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BT
Authorized Official - Prefix:
Authorized Official - First Name:KATELYN
Authorized Official - Middle Name:YOLEXY
Authorized Official - Last Name:MONJARAZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:831-208-1946
Mailing Address - Street 1:53620 PINE CANYON RD
Mailing Address - Street 2:
Mailing Address - City:KING CITY
Mailing Address - State:CA
Mailing Address - Zip Code:93930-9645
Mailing Address - Country:US
Mailing Address - Phone:831-208-1946
Mailing Address - Fax:
Practice Address - Street 1:53620 PINE CANYON RD
Practice Address - Street 2:
Practice Address - City:KING CITY
Practice Address - State:CA
Practice Address - Zip Code:93930-9645
Practice Address - Country:US
Practice Address - Phone:831-208-1946
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-05
Last Update Date:2025-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Single Specialty