MEDICARE: ATLAS ABA

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	:	1912838038
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ATLAS ABA

Provider Business Mailing Address
First Line	:	17146 STARE ST
Second Line	:
City	:	NORTHRIDGE
State	:	CA
Zip	:	91325-1649
Country	:	US
Telephone Number	:	818-770-5717
Fax Number	:

Provider Business Practice Location Address
First Line	:	17146 STARE ST
Second Line	:
City	:	NORTHRIDGE
State	:	CA
Zip	:	91325-1649
Country	:	US
Telephone Number	:	818-770-5717
Fax Number	:

Authorized Official
Title or Position	:	MANAGER OF LLC
Name	:	HOVHANNES JACK MAGDHZYAN
Credential	:
Telephone Number	:	818-770-5717

Provider Enumeration Date	:	05/27/2026
Last Update Date	:	05/27/2026

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Directions to “ATLAS ABA ” Practice Location

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