Provider Demographics
NPI:1629124896
Name:HAIRAPETIAN, BIAYNA (MFT)
Entity Type:Individual
Prefix:MS
First Name:BIAYNA
Middle Name:
Last Name:HAIRAPETIAN
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9944 LULL ST
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91504-1023
Mailing Address - Country:US
Mailing Address - Phone:818-767-1977
Mailing Address - Fax:818-752-9033
Practice Address - Street 1:4444 W RIVERSIDE DR
Practice Address - Street 2:SUITE #307
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91505-4073
Practice Address - Country:US
Practice Address - Phone:818-767-1977
Practice Address - Fax:818-752-9033
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC43179106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist