Provider Demographics
NPI:1447739727
Name:ADAMANT BEHAVIORAL SERVICES INC
Entity Type:Organization
Organization Name:ADAMANT BEHAVIORAL SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LUIZA
Authorized Official - Middle Name:
Authorized Official - Last Name:ANDAKYAN
Authorized Official - Suffix:
Authorized Official - Credentials:MA, MS, BCBA
Authorized Official - Phone:818-446-2149
Mailing Address - Street 1:2233 HONOLULU AVE # 301
Mailing Address - Street 2:
Mailing Address - City:MONTROSE
Mailing Address - State:CA
Mailing Address - Zip Code:91020-1635
Mailing Address - Country:US
Mailing Address - Phone:818-446-2149
Mailing Address - Fax:
Practice Address - Street 1:2233 HONOLULU AVE # 301
Practice Address - Street 2:
Practice Address - City:MONTROSE
Practice Address - State:CA
Practice Address - Zip Code:91020-1635
Practice Address - Country:US
Practice Address - Phone:818-446-2149
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-08
Last Update Date:2018-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty