Healthcare Provider Details

I. General information

NPI: 1164352266
Provider Name (Legal Business Name): BEHAVIORAL EDUCATION LEADING ASSOCIATES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2026
Last Update Date: 05/20/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16038 BASSETT STREET
VAN NUYS CA
91406
US

IV. Provider business mailing address

10907 MAGNOLIA BLVD # 1001
NORTH HOLLYWOOD CA
91601-3904
US

V. Phone/Fax

Practice location:
  • Phone: 818-431-0431
  • Fax:
Mailing address:
  • Phone:
  • 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: ALISA TAGVORYAN
Title or Position: DIRECTOR OF OPERATIONS
Credential:
Phone: 818-431-0431