My Miracle Child ABA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

MY MIRACLE CHILD ABA

Doing business as

My Miracle Child Behavioral Therapy

Practice address

201 N Brand Blvd Unit 200
Glendale, CA 91203-3590

Phone

(323) 896-9086

NPI assigned

Apr 3, 2026

Last updated

Sep 10, 2026By 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

Lisa YeretsianNPI 1013412154

Title

Ceo

Phone

(323) 896-9086

Specialties & licenses 1

Addresses

Other names 1

• My Miracle Child Behavioral Therapy Doing business as

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.

• Lisa Yeretsian

  • Behavior Analyst
  • Glendale, CA
  • NPI 1013412154
  NPD Authorized official

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

{
    "created_epoch": "1775174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788998400000",
    "number": "1013858984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 N BRAND BLVD UNIT 200",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912033590",
            "telephone_number": "323-896-9086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N BRAND BLVD UNIT 200",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912033590",
            "telephone_number": "323-896-9086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY MIRACLE CHILD ABA",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-03",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-09",
        "status": "A",
        "authorized_official_last_name": "YERETSIAN",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-896-9086"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "My Miracle Child Behavioral Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gevorg Arutyunavich Mutafyan, MD
• Joseph A. Mutch, M.D.
• Charles Bongcawel Mutia, PHYSICAL THERAPY
• My Choice Therapy
• My Genius Lab LLC (Genics Laboratories)
• Caroline Myers
• Myhhbs Inc.
• Richard Allen Myles, M.D.
• Jae Hong Myung, DDS
• MZP Drugs Inc (Glendale Med Zone Pharmacy)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; 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.