Gina Takhtadjian
Student in an Organized Health Care Education/Training Program in Los Angeles, CA. Individual provider (NPI-1).
NPI number1962065458
StatusActive
Last updated in NPPESAug 18, 2021
Details
- NPI
- 1962065458
- Entity type
- Individual (NPI-1)
- Name
- Gina Takhtadjian
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 19, 2019
- Certification date
- Aug 18, 2021
- Last updated
- Aug 18, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
| 106S00000X | Behavior Technician | – | – |
Practice location
333 S Beaudry AveLos Angeles, CA 90017-1466
Phone 213-241-3841 · Fax 213-241-3305
Mailing address
333 S Beaudry AveLos Angeles, CA 90017-1466
Phone 213-241-3841
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