Individual provider Active NPI

Adrine Ghazarian, MA,BCBA

  • Behavior Analyst
  • Tujunga, CA
National Provider Identifier
1578127734
Registry record updated Apr 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
11934781 Issued in CA
Practice address
10232 Pinewood Ave Apt 11
Tujunga, CA 91042-2472
Phone
(818) 926-7354
NPI assigned
Apr 23, 2019
Last updated
Apr 23, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X 11934781 CA Primary

Addresses

Primary practice location

10232 Pinewood Ave Apt 11
Tujunga, CA 91042-2472

Mailing address

10232 Pinewood Ave Apt 11
Tujunga, CA 91042-2472
Phone (818) 926-7354

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
11934781CAMDBehavioral Analyst

NPI Registry JSON

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

{
    "created_epoch": "1555977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555977600000",
    "number": "1578127734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10232 PINEWOOD AVE APT 11",
            "city": "TUJUNGA",
            "state": "CA",
            "postal_code": "910422472",
            "telephone_number": "818-926-7354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10232 PINEWOOD AVE APT 11",
            "city": "TUJUNGA",
            "state": "CA",
            "postal_code": "910422472",
            "telephone_number": "818-926-7354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHAZARIAN",
        "first_name": "ADRINE",
        "credential": "MA,BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-23",
        "last_updated": "2019-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "11934781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tujunga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2019; 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.