Healthcare Provider Details
I. General information
NPI: 1841147428
Provider Name (Legal Business Name): FUSION CHILD DEVELOPMENT CENTER INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/12/2026
Last Update Date: 03/12/2026
Certification Date: 03/12/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8805 SUNLAND BLVD STE 2B
SUN VALLEY CA
91352-2833
US
IV. Provider business mailing address
8805 SUNLAND BLVD STE 2B
SUN VALLEY CA
91352-2833
US
V. Phone/Fax
- Phone: 747-747-4774
- Fax:
- Phone: 747-747-4774
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103K00000X |
| Taxonomy | Behavior Analyst |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
HENRY
DEMIRCHYAN
Title or Position: DIRECTOR
Credential:
Phone: 747-747-4774