Provider Demographics
NPI:1821664558
Name:CALVER, TIANA
Entity Type:Individual
Prefix:
First Name:TIANA
Middle Name:
Last Name:CALVER
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 1:28134 SECO CANYON RD UNIT 76
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARITA
Mailing Address - State:CA
Mailing Address - Zip Code:91390-4207
Mailing Address - Country:US
Mailing Address - Phone:818-433-9582
Mailing Address - Fax:
Practice Address - Street 1:6355 TOPANGA CANYON BLVD STE 309
Practice Address - Street 2:
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91367-2132
Practice Address - Country:US
Practice Address - Phone:818-650-1901
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-02
Last Update Date:2021-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician