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NPI Code Detail

MEDICARE: PALS ABA INC

MEDICARE: PALS ABA INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1790477966
Entity Type Code : Organization
Provider Name (Legal Business Name) : PALS ABA INC
Provider Business Mailing Address
First Line : 1100 W TOWN AND COUNTRY RD STE 1250
Second Line :
City : ORANGE
State : CA
Zip : 92868-4633
Country : US
Telephone Number : 714-308-8211
Fax Number :
Provider Business Practice Location Address
First Line : 1528 BROOKHOLLOW DR STE 300
Second Line :
City : SANTA ANA
State : CA
Zip : 92705-5410
Country : US
Telephone Number : 714-308-8211
Fax Number :
Authorized Official
Title or Position : CHIEF CLINICAL OFFICER
Name : GUSTAVO LUPERCIO JR.
Credential : BCBA
Telephone Number : 714-308-8211
Provider Enumeration Date : 05/24/2023
Last Update Date : 08/14/2025

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Directions to “PALS ABA INC ” Practice Location

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