Provider Demographics
NPI:1992576854
Name:KOSTANDYAN, YUNONA
Entity type:Individual
Prefix:
First Name:YUNONA
Middle Name:
Last Name:KOSTANDYAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7311 HAZELTINE AVE APT 213
Mailing Address - Street 2:
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91405-5619
Mailing Address - Country:US
Mailing Address - Phone:818-469-2060
Mailing Address - Fax:
Practice Address - Street 1:217 E ALAMEDA AVE STE 301
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91502-2622
Practice Address - Country:US
Practice Address - Phone:818-469-2060
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-10
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1-23-70184103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst