Provider Demographics
NPI:1750158366
Name:EMBRACE AND EXCEL ABA
Entity type:Organization
Organization Name:EMBRACE AND EXCEL ABA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:NAZAFARIN
Authorized Official - Middle Name:
Authorized Official - Last Name:HONARPISHEH
Authorized Official - Suffix:
Authorized Official - Credentials:MD, BCBA
Authorized Official - Phone:608-698-7210
Mailing Address - Street 1:6061 GLENWOOD DR
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92647-2219
Mailing Address - Country:US
Mailing Address - Phone:714-624-5143
Mailing Address - Fax:
Practice Address - Street 1:6061 GLENWOOD DR
Practice Address - Street 2:
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92647-2219
Practice Address - Country:US
Practice Address - Phone:714-251-6551
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-05
Last Update Date:2023-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Multi-Specialty