Provider Demographics
NPI:1407623408
Name:MARKARIAN, NIARI
Entity Type:Individual
Prefix:
First Name:NIARI
Middle Name:
Last Name:MARKARIAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5805 WHITE OAK AVE UNIT 16883
Mailing Address - Street 2:
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91416-5046
Mailing Address - Country:US
Mailing Address - Phone:818-922-5408
Mailing Address - Fax:
Practice Address - Street 1:5805 WHITE OAK AVE UNIT 16883
Practice Address - Street 2:
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91416-5046
Practice Address - Country:US
Practice Address - Phone:818-922-5408
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-08
Last Update Date:2023-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA142560106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist