Individual
ANI GYULAMJYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5530 CORBIN AVE STE 221, TARZANA, CA 91356-6095
(818) 600-8758
Mailing address
5530 CORBIN AVE STE 221, TARZANA, CA 91356-6095
(818) 600-8758
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-15-18
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0
—
CA
Enumeration date
02/18/2022
Last updated
02/18/2022
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