Healthcare Provider Details

I. General information

NPI: 1538087564
Provider Name (Legal Business Name): VIVIA BEHAVIORAL SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2026
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

229 N CENTRAL AVE STE 600
GLENDALE CA
91203-3528
US

IV. Provider business mailing address

229 N CENTRAL AVE STE 600
GLENDALE CA
91203-3528
US

V. Phone/Fax

Practice location:
  • Phone: 747-231-9443
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: GRIGOR HAROYAN
Title or Position: OWNER
Credential: MA, BCBA
Phone: 747-231-9443