Healthcare Provider Details

I. General information

NPI: 1306759204
Provider Name (Legal Business Name): SUNRISE BEHAVIOR SERVICES OF ORANGE COUNTY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9 DUXBURY ST
LADERA RANCH CA
92694-1061
US

IV. Provider business mailing address

9 DUXBURY ST
LADERA RANCH CA
92694-1061
US

V. Phone/Fax

Practice location:
  • Phone: 714-614-1335
  • Fax:
Mailing address:
  • Phone: 714-614-1335
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: JUSTIN OREFICE
Title or Position: CLINICAL DIRECTOR/FOUNDER
Credential: BCBA
Phone: 714-614-1335