Provider Demographics
NPI:1083255756
Name:HAYRAPETYAN, LILIT
Entity Type:Individual
Prefix:MRS
First Name:LILIT
Middle Name:
Last Name:HAYRAPETYAN
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:LILIT
Other - Middle Name:HAYRAPETYAN
Other - Last Name:TOROSSIAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:13411 HARTLAND ST
Mailing Address - Street 2:
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91405-4318
Mailing Address - Country:US
Mailing Address - Phone:818-472-5698
Mailing Address - Fax:
Practice Address - Street 1:9201 OAKDALE AVE STE 101
Practice Address - Street 2:
Practice Address - City:CHATSWORTH
Practice Address - State:CA
Practice Address - Zip Code:91311-6546
Practice Address - Country:US
Practice Address - Phone:818-401-0661
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-03
Last Update Date:2020-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1-19--38905103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty