Provider Demographics
NPI:1558728964
Name:TSATURYAN, ARA (MAT, BCBA)
Entity Type:Individual
Prefix:
First Name:ARA
Middle Name:
Last Name:TSATURYAN
Suffix:
Gender:M
Credentials:MAT, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9933 LULL ST
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91504-1024
Mailing Address - Country:US
Mailing Address - Phone:818-823-0676
Mailing Address - Fax:
Practice Address - Street 1:1131 E ELK AVE APT 7
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91205-1381
Practice Address - Country:US
Practice Address - Phone:818-823-0676
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-01-15
Last Update Date:2023-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1-15-18690103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst