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Organization
MY MIRACLE CHILD ABA
Active
Organization
MY MIRACLE CHILD ABA
Active
Other names
My Miracle Child Behavioral Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
LISA YERETSIAN (CEO)
(323) 896-9086
Entity
Organization
Contact information
Practice address
201 N BRAND BLVD UNIT 200, GLENDALE, CA 91203-3590
(323) 896-9086
Mailing address
201 N BRAND BLVD UNIT 200, GLENDALE, CA 91203-3590
(323) 896-9086
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/03/2026
Last updated
09/10/2026
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