Healthcare Provider Details

I. General information

NPI: 1659212355
Provider Name (Legal Business Name): HAPPY HEARTS ABA CONSULTING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/06/2026
Last Update Date: 04/06/2026
Certification Date: 04/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3505 BRIDGEFORD LN APT 108
MODESTO CA
95356-1647
US

IV. Provider business mailing address

3505 BRIDGEFORD LN APT 108
MODESTO CA
95356-1647
US

V. Phone/Fax

Practice location:
  • Phone: 209-496-0759
  • Fax:
Mailing address:
  • Phone: 209-496-0759
  • 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: CHRISTINA HOWIE FAYE MOSCATO
Title or Position: BCBA
Credential: MS
Phone: 209-496-0759