Healthcare Provider Details

I. General information

NPI: 1528931979
Provider Name (Legal Business Name): ABC ACADEMY USA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2025
Last Update Date: 04/14/2026
Certification Date: 04/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

116 N ARTSAKH AVE STE 100
GLENDALE CA
91206-4771
US

IV. Provider business mailing address

116 N ARTSAKH AVE STE 100
GLENDALE CA
91206-4771
US

V. Phone/Fax

Practice location:
  • Phone: 828-880-0088
  • Fax:
Mailing address:
  • Phone: 828-880-0088
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State

VIII. Authorized Official

Name: ANI SAGHATELYAN
Title or Position: CEO
Credential:
Phone: 747-231-9888