Healthcare Provider Details

I. General information

NPI: 1134054208
Provider Name (Legal Business Name): ARS BEHAVIORAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2026
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

416 S ROSEMEAD BLVD STE A
PASADENA CA
91107-4966
US

IV. Provider business mailing address

416 S ROSEMEAD BLVD STE A
PASADENA CA
91107-4966
US

V. Phone/Fax

Practice location:
  • Phone: 626-834-8080
  • Fax: 626-900-4307
Mailing address:
  • Phone: 626-834-8080
  • Fax: 626-900-4307

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MOSES GEORGIAN
Title or Position: MANAGER OF LLC
Credential:
Phone: 626-834-8080