Healthcare Provider Details

I. General information

NPI: 1750158366
Provider Name (Legal Business Name): EMBRACE AND EXCEL ABA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/05/2023
Last Update Date: 10/08/2025
Certification Date: 10/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5500 BOLSA AVE STE 135
HUNTINGTON BEACH CA
92649-1197
US

IV. Provider business mailing address

5500 BOLSA AVE STE 135
HUNTINGTON BEACH CA
92649-1197
US

V. Phone/Fax

Practice location:
  • Phone: 608-698-7210
  • Fax:
Mailing address:
  • Phone:
  • 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 Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name: NAZAFARIN HONARPISHEH
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: MD, BCBA
Phone: 608-698-7210