Healthcare Provider Details

I. General information

NPI: 1861309833
Provider Name (Legal Business Name): AMPLE JOY ABA CONSULTING SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2450 COLORADO AVE STE 100E0458
SANTA MONICA CA
90404-3575
US

IV. Provider business mailing address

2450 COLORADO AVE STE 100E0458
SANTA MONICA CA
90404-3575
US

V. Phone/Fax

Practice location:
  • Phone: 951-801-0549
  • Fax: 310-870-9266
Mailing address:
  • Phone: 951-801-0549
  • Fax: 310-870-9266

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: NNEKA M NWANI
Title or Position: EXECUTIVE CEO/FOUNDER
Credential: MS APRN PMHNP-BC
Phone: 951-801-0549