Healthcare Provider Details

I. General information

NPI: 1841104783
Provider Name (Legal Business Name): BRIGHT MIND ABA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10950 MOUNTAIR AVE
TUJUNGA CA
91042-1245
US

IV. Provider business mailing address

10950 MOUNTAIR AVE
TUJUNGA CA
91042-1245
US

V. Phone/Fax

Practice location:
  • Phone: 323-792-3650
  • Fax: 323-417-1653
Mailing address:
  • Phone: 323-792-3650
  • Fax: 323-417-1653

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: ARAM BIDKHANIAN
Title or Position: MANAGER OF LLC / CEO
Credential:
Phone: 323-792-3650