Individual provider Active NPI

Eduard Aram Agajanian

  • Behavior Analyst
  • San Francisco, CA
National Provider Identifier
1023658333
Registry record updated Jan 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
150 Executive Park Blvd Ste 2800
San Francisco, CA 94134-3311
Phone
(408) 394-8778
NPI assigned
Jan 14, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

150 Executive Park Blvd Ste 2800
San Francisco, CA 94134-3311

Mailing address

708 Crockett Ave
Campbell, CA 95008-4412
Phone (408) 394-8778

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1578960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578960000000",
    "number": "1023658333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 CROCKETT AVE",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950084412",
            "telephone_number": "408-394-8778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 EXECUTIVE PARK BLVD STE 2800",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941343311",
            "telephone_number": "408-394-8778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGAJANIAN",
        "first_name": "EDUARD",
        "middle_name": "ARAM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-01-14",
        "last_updated": "2020-01-14",
        "certification_date": "2020-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2020; 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.