Healthcare Provider Details

I. General information

NPI: 1649132788
Provider Name (Legal Business Name): MUSTARD SEED ABA CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/26/2025
Last Update Date: 11/26/2025
Certification Date: 11/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8720 MEADOW BROOK AVE UNIT D
GARDEN GROVE CA
92844-1243
US

IV. Provider business mailing address

7927 GARDEN GROVE BLVD P.O. BOX 112
GARDEN GROVE CA
92841
US

V. Phone/Fax

Practice location:
  • Phone: 714-655-5138
  • Fax: 714-655-5138
Mailing address:
  • Phone: 714-655-5138
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name: MRS. DAI DOAN
Title or Position: PRESIDENT
Credential: M.S., BCBA
Phone: 714-655-5138