Healthcare Provider Details

I. General information

NPI: 1821915901
Provider Name (Legal Business Name): NAIRA MARKARADI BA, MA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2026
Last Update Date: 06/30/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17777 VENTURA BLVD STE 105
ENCINO CA
91316-3738
US

IV. Provider business mailing address

13300 VICTORY BLVD # 235
VAN NUYS CA
91401-1831
US

V. Phone/Fax

Practice location:
  • Phone: 213-908-1234
  • Fax: 213-908-1233
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number163709
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: