Healthcare Provider Details

I. General information

NPI: 1033040761
Provider Name (Legal Business Name): PRAXIA THERAPY GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/29/2026
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2600 FOOTHILL BLVD STE 301
LA CRESCENTA CA
91214-4579
US

IV. Provider business mailing address

2600 FOOTHILL BLVD STE 301
LA CRESCENTA CA
91214-4579
US

V. Phone/Fax

Practice location:
  • Phone: 818-482-6290
  • Fax:
Mailing address:
  • Phone: 818-482-6290
  • Fax:

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: LOUISA SEPEDJIAN
Title or Position: CEO
Credential:
Phone: 818-482-6290