Healthcare Provider Details

I. General information

NPI: 1447197793
Provider Name (Legal Business Name): HARBOR ABA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date: 05/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20371 IRVINE AVE STE 200
NEWPORT BEACH CA
92660-0132
US

IV. Provider business mailing address

20371 IRVINE AVE STE 200
NEWPORT BEACH CA
92660-0132
US

V. Phone/Fax

Practice location:
  • Phone: 951-965-9514
  • Fax:
Mailing address:
  • Phone: 951-965-9514
  • 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: LOURDES GOMEZ
Title or Position: CLINICAL DIRECTOR
Credential: MS., BCBA
Phone: 951-965-9514