Healthcare Provider Details

I. General information

NPI: 1255029005
Provider Name (Legal Business Name): LEANI INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/28/2023
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17157 VENTURA BLVD STE 5
ENCINO CA
91316-4004
US

IV. Provider business mailing address

120 N VICTORY BLVD STE 206
BURBANK CA
91502-0001
US

V. Phone/Fax

Practice location:
  • Phone: 818-919-8805
  • Fax:
Mailing address:
  • Phone: 818-919-8805
  • Fax: 747-297-6301

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: ANI SEDRAKYAN
Title or Position: CEO/OWNER
Credential:
Phone: 818-919-8805