Provider Demographics
NPI:1700643657
Name:LJUBINOVIC, ANA DRAGANA
Entity Type:Individual
Prefix:
First Name:ANA
Middle Name:DRAGANA
Last Name:LJUBINOVIC
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:DRAGANA
Other - Middle Name:ANA
Other - Last Name:LJUBINOVIC
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:12110 HINDRY AVE
Mailing Address - Street 2:
Mailing Address - City:HAWTHORNE
Mailing Address - State:CA
Mailing Address - Zip Code:90250-3401
Mailing Address - Country:US
Mailing Address - Phone:310-213-8883
Mailing Address - Fax:
Practice Address - Street 1:12110 HINDRY AVE
Practice Address - Street 2:
Practice Address - City:HAWTHORNE
Practice Address - State:CA
Practice Address - Zip Code:90250-3401
Practice Address - Country:US
Practice Address - Phone:310-725-2100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-05
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst