Healthcare Provider Details
I. General information
NPI: 1750256483
Provider Name (Legal Business Name): BUSY BEEZ ACADEMY LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/10/2025
Last Update Date: 10/10/2025
Certification Date: 10/10/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2670 N MAIN ST STE 270 #270
SANTA ANA CA
92705-6639
US
IV. Provider business mailing address
2670 N MAIN ST STE 270
SANTA ANA CA
92705-6639
US
V. Phone/Fax
- Phone: 949-636-6118
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103K00000X |
| Taxonomy | Behavior Analyst |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 106S00000X |
| Taxonomy | Behavior Technician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MICHELLE
GARCIA
VENCES
Title or Position: BCBA
Credential: BCBA
Phone: 210-889-5799