Most Relevant Information
Provider Data
| NPI Number: | 1003386756 |
| Provider Name: | ANNA NERSISYAN |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/26/2018 |
| Last Updated: | 11/26/2018 |
Provider Practice Location
25115 AVENUE STANFORD STE 100
VALENCIA
CA
913554791
Practice Location Phone/Fax
| Phone: | 8182416780 |
| Fax: |
Provider Mailing Location
206 N JACKSON ST STE 206
GLENDALE
CA
912064330
Provider Mailing Phone/Fax
| Phone: | 8182416780 |
| Fax: |