Healthcare Provider Details

I. General information

NPI: 1760206908
Provider Name (Legal Business Name): THRIVE TOGETHER ABA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/13/2024
Last Update Date: 07/18/2025
Certification Date: 07/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

537 E PALMER AVE APT 2
GLENDALE CA
91205-3491
US

IV. Provider business mailing address

537 E PALMER AVE APT 2
GLENDALE CA
91205-3491
US

V. Phone/Fax

Practice location:
  • Phone: 818-476-2859
  • 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
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ANITA SARKEESIAN-ASADORIAN
Title or Position: PRESIDENT
Credential:
Phone: 818-476-2859