Individual
ANKINE KRISTIN VASOYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
6320 CANOGA AVE, WOODLAND HILLS, CA 91367-2526
(661) 214-3063
Mailing address
18507 ENTRADA CT, PORTER RANCH, CA 91326-1935
(818) 326-2060
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-46384
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-20-46384
BEHAVIOR ANALYST CERTIFICATION BOARD
—
Enumeration date
12/25/2020
Last updated
12/25/2020
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