Provider Demographics
NPI:1518667922
Name:BABAYAN, KNARIK (MS, CCC - SLP)
Entity Type:Individual
Prefix:
First Name:KNARIK
Middle Name:
Last Name:BABAYAN
Suffix:
Gender:F
Credentials:MS, CCC - SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10750 KESWICK ST
Mailing Address - Street 2:
Mailing Address - City:SUN VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:91352-4606
Mailing Address - Country:US
Mailing Address - Phone:818-371-0199
Mailing Address - Fax:
Practice Address - Street 1:601 S GLENOAKS BLVD STE 204
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91502-2775
Practice Address - Country:US
Practice Address - Phone:818-371-0199
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-06
Last Update Date:2023-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA34086235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist