MEDICARE: GOLDEN STATE SPECTRUM, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1316835499
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GOLDEN STATE SPECTRUM, INC.

Provider Business Mailing Address
First Line	:	4605 LANKERSHIM BLVD STE 609
Second Line	:
City	:	NORTH HOLLYWOOD
State	:	CA
Zip	:	91602-1862
Country	:	US
Telephone Number	:	747-600-1100
Fax Number	:

Provider Business Practice Location Address
First Line	:	4605 LANKERSHIM BLVD STE 609
Second Line	:
City	:	NORTH HOLLYWOOD
State	:	CA
Zip	:	91602-1862
Country	:	US
Telephone Number	:	747-600-1100
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	KAREN ASLANYAN
Credential	:
Telephone Number	:	747-600-1100

Provider Enumeration Date	:	06/26/2025
Last Update Date	:	05/21/2026

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