Active NPI
Jasmin Khachatryan
- Behavior Analyst
- Newhall, CA
National Provider Identifier
1710692546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-22-60658
- Practice address
- 23030 Lyons Ave Ste 200
Newhall, CA 91321-2754 - Phone
- (661) 425-7066
- Fax
- (661) 425-7167
- NPI assigned
- Jan 17, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-22-60658 | CA | Primary |
Addresses
Primary practice location
23030 Lyons Ave Ste 200
Newhall, CA 91321-2754
Mailing address
23030 Lyons Ave Ste 200
Newhall, CA 91321-2754
Phone (661) 425-7066
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1-22-60658 | Other | CA | BCBA |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Therapy Center,Inc | Past | Accepting new patients | |
| Miracles Therapy Center | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Behavior Analyst
- Los Angeles, CA
- NPI 1033920087
-
- Community/Behavioral Health Agency
- Los Angeles, CA
- NPI 1396358735
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673913600000",
"number": "1710692546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23030 LYONS AVE STE 200",
"city": "NEWHALL",
"state": "CA",
"postal_code": "913212754",
"telephone_number": "661-425-7066",
"fax_number": "661-425-7167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23030 LYONS AVE STE 200",
"city": "NEWHALL",
"state": "CA",
"postal_code": "913212754",
"telephone_number": "661-425-7066",
"fax_number": "661-425-7167"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHACHATRYAN",
"first_name": "JASMIN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-17",
"last_updated": "2023-01-17",
"certification_date": "2023-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "1-22-60658",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBA",
"identifier": "1-22-60658",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Newhall, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.