| Lark Behavior Group Inc. | |
|
301 E Fairview Ave Unit 302 Glendale CA 91207-1995 | |
| (818) 970-5210 | |
| Not Available |
| Full Name | Lark Behavior Group Inc. |
|---|---|
| Speciality | Behavior Analyst |
| Location | 301 E Fairview Ave, Glendale, California |
| Authorized Official Name and Position | Shogik Martirosyan (BCBA) |
| Authorized Official Contact | 4243543731 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lark Behavior Group Inc. 301 E Fairview Ave Unit 302 Glendale CA 91207-1995 Ph: (424) 354-3731 | Lark Behavior Group Inc. 301 E Fairview Ave Unit 302 Glendale CA 91207-1995 Ph: (818) 970-5210 |
| NPI Number | 1851986152 |
|---|---|
| Provider Enumeration Date | 03/08/2021 |
| Last Update Date | 03/12/2021 |
| Certification Date | 03/12/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851986152 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
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