Active NPI
Ayda Minasyan
- Behavior Analyst
- Van Nuys, CA
National Provider Identifier
1790163392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-20-46845
- Practice address
- 16360 Roscoe Blvd Ste 100
Van Nuys, CA 91406-1206 - Phone
- (855) 223-7123
- NPI assigned
- May 14, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 6743 | TX | |
| Behavior Analyst | 103K00000X | 1-20-46845 | CA | Primary |
Addresses
Primary practice location
16360 Roscoe Blvd Ste 100
Van Nuys, CA 91406-1206
Mailing address
PO Box 33568
San Diego, CA 92163-3568
Phone (855) 223-7123
Other practice location 1
17462 Colima Rd
Rowland Heights, CA 91748-1633
Phone (855) 223-7123
Other practice location 2
3760 S Mason Rd Ste 10
Katy, TX 77450-7729
Phone (855) 223-7123
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6743 | TX | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711065600000",
"number": "1790163392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 33568",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921633568",
"telephone_number": "855-223-7123",
"fax_number": "619-374-7134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16360 ROSCOE BLVD STE 100",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914061206",
"telephone_number": "855-223-7123"
}
],
"practiceLocations": [
{
"address_1": "17462 Colima Rd",
"address_purpose": "LOCATION",
"city": "Rowland Heights",
"state": "CA",
"postal_code": "917481633",
"country_code": "US",
"telephone_number": "855-223-7123",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3760 S Mason Rd Ste 10",
"address_purpose": "LOCATION",
"city": "Katy",
"state": "TX",
"postal_code": "774507729",
"country_code": "US",
"telephone_number": "855-223-7123",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MINASYAN",
"first_name": "AYDA",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-05-14",
"last_updated": "2024-03-22",
"certification_date": "2024-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "TX",
"license": "6743",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "1-20-46845",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Van Nuys, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.