Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst | ||
N | 106S00000X | Behavior Technician | CA |
NPI | 1003324641 |
---|---|
Provider Name | Liana Babayan |
First Address | Irvine, CA 92606-2417 |
Second Address | El Cajon, CA 92020-5128 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/01/2018 |
Last Update Date | 18/10/2021 |