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Organization
NOR ABACA
Active
Organization
NOR ABACA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIAM LAURENNE DAVTYAN (EXECUTIVE DIRECTOR)
(667) 216-1222
Entity
Organization
Contact information
Practice address
300 N 3RD ST # 209, BURBANK, CA 91502-1107
(667) 216-1222
Mailing address
300 N 3RD ST STE 209, BURBANK, CA 91502-1107
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
07/27/2024
Last updated
10/31/2024
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