Organization Active NPI

Promise ABA, LLC

  • Behavior Analyst
  • Burbank, CA
National Provider Identifier
1205345220
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
PROMISE ABA, LLC
Practice address
150 S Glenoaks Blvd
Burbank, CA 91502-1314
Phone
(818) 400-3447
NPI assigned
Sep 21, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Lilit Gevoglanian
Title
Co-Owner
Phone
(818) 400-3447

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

150 S Glenoaks Blvd
Burbank, CA 91502-1314

Mailing address

150 S Glenoaks Blvd
Burbank, CA 91502-1314
Phone (818) 400-3447

National Provider Directory

National Provider Directory

Locations

150 S Glenoaks Blvd
Burbank, CA 91502
Phone (818) 400-3447

NPI Registry JSON

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

{
    "created_epoch": "1505952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1205345220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 S GLENOAKS BLVD",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915021314",
            "telephone_number": "818-400-3447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 S GLENOAKS BLVD",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915021314",
            "telephone_number": "818-400-3447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMISE ABA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-21",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GEVOGLANIAN",
        "authorized_official_first_name": "LILIT",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "818-400-3447"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.