Individual provider Active NPI

Lusine Takesyan

  • Behavior Technician
  • Culver City, CA
National Provider Identifier
1043121239
Registry record updated Sep 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
5601 W Slauson Ave Ste 168
Culver City, CA 90230-6584
Phone
(310) 410-4450
Fax
(310) 410-4455
NPI assigned
Sep 15, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Primary

Addresses

Primary practice location

5601 W Slauson Ave Ste 168
Culver City, CA 90230-6584

Mailing address

5601 W Slauson Ave Ste 168
Culver City, CA 90230-6584
Phone (310) 410-4450

Medicare participation

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

NPI Registry JSON

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

{
    "created_epoch": "1789430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789430400000",
    "number": "1043121239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5601 W SLAUSON AVE STE 168",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902306584",
            "telephone_number": "310-410-4450",
            "fax_number": "310-410-4455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 W SLAUSON AVE STE 168",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902306584",
            "telephone_number": "310-410-4450",
            "fax_number": "310-410-4455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAKESYAN",
        "first_name": "LUSINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-15",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Culver City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.