MEDICARE: YASAMAN DIANAT KHANMALEK BCBA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst	1-06-3016	CA

General Provider Information

NPI Number	:	1093101289
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YASAMAN DIANAT KHANMALEK BCBA

Provider Business Mailing Address
First Line	:	5757 W CENTURY BLVD STE 810
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90045-6431
Country	:	US
Telephone Number	:	800-930-5773
Fax Number	:

Provider Business Practice Location Address
First Line	:	5757 W CENTURY BLVD STE 810
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90045-6431
Country	:	US
Telephone Number	:	800-930-5773
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/14/2015
Last Update Date	:	05/07/2026

Similar Medicare Providers

1720860489 — HENRY CARLOS BROWN LMT
Practice Location Address:

5757 W CENTURY BLVD STE 719
LOS ANGELES, CA
90045-6431

Practice Phone: 424-702-5645
Practice Fax:

1801601083 — TRISHA LEILANI ICHIYAMA LMT
Practice Location Address:

5757 W CENTURY BLVD STE 719
LOS ANGELES, CA
90045-6431

Practice Phone: 714-392-4524
Practice Fax:

1700886793 — DR. MOJDEH MORADI PHARMD.
Practice Location Address:

451 S BARRINGTON AVE , APT 201
LOS ANGELES, CA
90049-6431

Practice Phone: 310-749-0441
Practice Fax:

1740220201 — RICHARD ALAN LEWIS MD
Practice Location Address:

127 S. SAN VICENTE BLVD , AHSP 6431
LOS ANGELES, CA
90048-1865

Practice Phone: 310-423-2372
Practice Fax:

1497848980 — SHAHNAZ ABRAR M F T
Practice Location Address:

1246 ARMACOST AVE , PH5
LOS ANGELES, CA
90025-6431

Practice Phone: 310-358-6000
Practice Fax: 310-550-7878

1235425315 — DR. JOANNA YAHOUDAI PSY.D
Practice Location Address:

10390 WILSHIRE BLVD , 1203
LOS ANGELES, CA
90024-6431

Practice Phone: 310-435-9550
Practice Fax:

Directions to “ YASAMAN DIANAT KHANMALEK BCBA” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.