Ani Shakhverdyan, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-22-61066 Issued in CA

Practice address

8138 Foothill Blvd Ste 200
Sunland, CA 91040-2900

Phone

(818) 579-2248

NPI assigned

Aug 25, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1661385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1487373247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 OMAR ST",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912022123",
            "telephone_number": "818-661-8987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8138 FOOTHILL BLVD STE 200",
            "city": "SUNLAND",
            "state": "CA",
            "postal_code": "910402900",
            "telephone_number": "818-579-2248"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "721 Omar St",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "CA",
            "postal_code": "912022123",
            "country_code": "US",
            "telephone_number": "818-661-8987",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4401 Crenshaw Blvd Ste 215",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900431200",
            "country_code": "US",
            "telephone_number": "323-291-7100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAKHVERDYAN",
        "first_name": "ANI",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-25",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-22-61066",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "BACB487235",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; 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.