Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Maya Jane Avetisov

Individual provider Behavior Technician · NPI 1255177382

Maya Jane Avetisov is a Behavior Technician in Walnut Creek, California. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

1910 Olympic Blvd Ste 140&150
Walnut Creek, CA 94596-5096
Phone: (925) 433-0990
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1255177382
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 8, 2024
Last updated in NPPESJuly 8, 2024
Certification dateJuly 8, 2024
Mailing address996 Royal Marco Way, Marco Island, FL 34145-1829

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