Provider Demographics
NPI:1962929976
Name:ATLAS BEHAVIOR SERVICES LLC
Entity type:Organization
Organization Name:ATLAS BEHAVIOR SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-FOUNDER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DIANA
Authorized Official - Middle Name:H
Authorized Official - Last Name:KUMURYAN
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:818-634-1163
Mailing Address - Street 1:2641 N KEYSTONE ST
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91504-2113
Mailing Address - Country:US
Mailing Address - Phone:818-634-1163
Mailing Address - Fax:
Practice Address - Street 1:2829 W BURBANK BLVD STE 200
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91505-2300
Practice Address - Country:US
Practice Address - Phone:818-634-1163
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-30
Last Update Date:2023-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Single Specialty