Provider Demographics
NPI:1932878881
Name:TIRALINE HEALTH SERVICES INC.
Entity Type:Organization
Organization Name:TIRALINE HEALTH SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ZARUI
Authorized Official - Middle Name:
Authorized Official - Last Name:MIDURYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-939-2471
Mailing Address - Street 1:7824 RANCHITO AVE
Mailing Address - Street 2:
Mailing Address - City:PANORAMA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91402-6524
Mailing Address - Country:US
Mailing Address - Phone:818-939-2471
Mailing Address - Fax:
Practice Address - Street 1:7824 RANCHITO AVE
Practice Address - Street 2:
Practice Address - City:PANORAMA CITY
Practice Address - State:CA
Practice Address - Zip Code:91402-6524
Practice Address - Country:US
Practice Address - Phone:818-939-2471
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-13
Last Update Date:2021-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAB6348262OtherAPPLIED BEHAVIORAL ANALYSIS