Svetlana Danielyan
Individual provider Active NPI Behavior Analyst · Sunland, CA
NPI 1669076535 · NPPES record last updated Nov 22, 2020
Key facts
- NPI
- 1669076535
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 12045147 (CA)
- Practice address
- 8138 Foothill Blvd Ste 205
Sunland, CA 91040-2994 - Phone
- (818) 206-2442
- Fax
- (818) 875-4660
- NPI assigned
- Nov 22, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12045147 | CA | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Era Behavioral Solutions Inc | Behavior Analyst | Past |
Accepting new patients |
| Utah State University | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 12045147 | CA | Yes |
Addresses
Primary practice location
8138 Foothill Blvd Ste 205
Sunland, CA 91040-2994
Mailing address
8138 Foothill Blvd Ste 205
Sunland, CA 91040-2994
Phone (818) 206-2442
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All providers in Sunland, CA · Behavior Analyst in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.