Healthcare Provider Details

I. General information

NPI: 1912838038
Provider Name (Legal Business Name): ATLAS ABA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2026
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17146 STARE ST
NORTHRIDGE CA
91325-1649
US

IV. Provider business mailing address

17146 STARE ST
NORTHRIDGE CA
91325-1649
US

V. Phone/Fax

Practice location:
  • Phone: 818-770-5717
  • Fax:
Mailing address:
  • Phone: 818-770-5717
  • 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: HOVHANNES JACK MAGDHZYAN
Title or Position: MANAGER OF LLC
Credential:
Phone: 818-770-5717