Healthcare Provider Details

I. General information

NPI: 1124934336
Provider Name (Legal Business Name): AIANA RAY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23371 MULHOLLAND DR # 429
WOODLAND HILLS CA
91364-2734
US

IV. Provider business mailing address

8931 OWENSMOUTH AVE
CANOGA PARK CA
91304-1456
US

V. Phone/Fax

Practice location:
  • Phone: 626-531-6999
  • Fax:
Mailing address:
  • Phone: 310-295-8327
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberY9361508
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: