NPI Code Details Logo

NPI 1750158366

NPI 1750158366 : EMBRACE AND EXCEL ABA : HUNTINGTON BEACH, CA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1750158366
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    EMBRACE AND EXCEL ABA 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    12/05/2023
-----------------------------------------------------
    Last Update Date     |    10/08/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    5500 BOLSA AVE STE 135 
-----------------------------------------------------
    City                 |    HUNTINGTON BEACH
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    92649-1197
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    608-698-7210
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    5500 BOLSA AVE STE 135 
-----------------------------------------------------
    City                 |    HUNTINGTON BEACH
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    92649-1197
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    CHIEF EXECUTIVE OFFICER
-----------------------------------------------------
    Name                 |     NAZAFARIN  HONARPISHEH 
-----------------------------------------------------
    Credential           |    MD, BCBA
-----------------------------------------------------
    Telephone            |    608-698-7210
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    106S00000X
-----------------------------------------------------
    Taxonomy Name        |    Behavior Technician
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    103K00000X
-----------------------------------------------------
    Taxonomy Name        |    Behavior Analyst
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.