Provider Demographics
NPI:1134760622
Name:KAVIYA, SUNAYANA
Entity type:Individual
Prefix:
First Name:SUNAYANA
Middle Name:
Last Name:KAVIYA
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1800 W HILLCREST DR APT 358
Mailing Address - Street 2:
Mailing Address - City:THOUSAND OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91320-2341
Mailing Address - Country:US
Mailing Address - Phone:240-418-6991
Mailing Address - Fax:
Practice Address - Street 1:1534 N MOORPARK RD STE 1171000
Practice Address - Street 2:
Practice Address - City:THOUSAND OAKS
Practice Address - State:CA
Practice Address - Zip Code:91360-5129
Practice Address - Country:US
Practice Address - Phone:240-418-6991
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-05
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
106H00000X
CA132925106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist