Organization Active NPI

Greatway Therapy LLC

  • Behavior Analyst
  • Glendale, CA
National Provider Identifier
1851283113
Registry record updated Jul 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
GREATWAY THERAPY LLC
Practice address
3455 Ocean View Blvd Ste 100
Glendale, CA 91208-1554
Phone
(818) 512-5030
NPI assigned
Jul 18, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2025

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

Authorized official

Name
Lusine Ghazaryan
Title
Manager
Phone
(818) 512-5030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

3455 Ocean View Blvd Ste 100
Glendale, CA 91208-1554

Mailing address

3455 Ocean View Blvd Ste 100
Glendale, CA 91208-1554
Phone (818) 512-5030

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1752796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752796800000",
    "number": "1851283113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3455 OCEAN VIEW BLVD STE 100",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912081554",
            "telephone_number": "818-512-5030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3455 OCEAN VIEW BLVD STE 100",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912081554",
            "telephone_number": "818-512-5030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATWAY THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-18",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A",
        "authorized_official_last_name": "GHAZARYAN",
        "authorized_official_first_name": "LUSINE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "818-512-5030"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2025; 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.