Provider Demographics
NPI:1467242677
Name:GHAZOURIAN, SARA
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:
Last Name:GHAZOURIAN
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 1:9912 HAYVENHURST AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91343-1163
Mailing Address - Country:US
Mailing Address - Phone:818-798-8102
Mailing Address - Fax:
Practice Address - Street 1:3210 W BURBANK BLVD STE B
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91505-2200
Practice Address - Country:US
Practice Address - Phone:818-638-9586
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-09
Last Update Date:2025-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician