Individual provider Active NPI

Ellen Tatevosyan

  • Behavior Technician
  • Phoenix, AZ
National Provider Identifier
1508776592
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
2760 W Peoria Ave # 1277
Phoenix, AZ 85029-5202
Phone
(626) 339-4999
NPI assigned
Sep 10, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 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 AZ Primary

Addresses

Primary practice location

2760 W Peoria Ave # 1277
Phoenix, AZ 85029-5202

Mailing address

2760 W Peoria Ave # 1277
Phoenix, AZ 85029-5202
Phone (626) 339-4999

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": "1788998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1508776592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2760 W PEORIA AVE # 1277",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850295202",
            "telephone_number": "626-339-4999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2760 W PEORIA AVE # 1277",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850295202",
            "telephone_number": "626-339-4999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATEVOSYAN",
        "first_name": "ELLEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-10",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • 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.

Verify at the official NPI Registry.