MEDICARE: ENDLESS HORIZONS CHILD DEVELOPMENT LLC

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

General Provider Information

NPI Number	:	1396675294
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ENDLESS HORIZONS CHILD DEVELOPMENT LLC

Provider Business Mailing Address
First Line	:	11212 DEBRA AVE
Second Line	:
City	:	GRANADA HILLS
State	:	CA
Zip	:	91344-3701
Country	:	US
Telephone Number	:	818-429-4040
Fax Number	:

Provider Business Practice Location Address
First Line	:	11212 DEBRA AVE
Second Line	:
City	:	GRANADA HILLS
State	:	CA
Zip	:	91344-3701
Country	:	US
Telephone Number	:	818-429-4040
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. SHAHEN TARAKDZHYAN
Credential	:
Telephone Number	:	818-429-4040

Provider Enumeration Date	:	05/21/2026
Last Update Date	:	05/21/2026

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