Healthcare Provider Details

I. General information

NPI: 1447826151
Provider Name (Legal Business Name): ABC AMERICAN BEHAVIORAL TREATMENT CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2021
Last Update Date: 01/07/2026
Certification Date: 01/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 E THOUSAND OAKS BLVD STE 227
THOUSAND OAKS CA
91360-8131
US

IV. Provider business mailing address

100 E THOUSAND OAKS BLVD STE 227
THOUSAND OAKS CA
91360-8131
US

V. Phone/Fax

Practice location:
  • Phone: 818-807-5750
  • Fax: 805-601-5134
Mailing address:
  • Phone: 818-807-5750
  • Fax: 805-601-5134

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MESROP RSHTOONI
Title or Position: OWNER/CEO
Credential:
Phone: 818-807-5750