Organization
FLOURISH ABA BEHAVIORAL HEALTH SERVICES
Active
Parent organization
BRIGHTWAY ABA BEHAVIORAL HEALTH SERVICES, LLC
Other names
Flourish ABA Behavioral Health Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
BRIGHTWAY ABA BEHAVIORAL HEALTH SERVICES, LLC
Authorized official
JANICE BOTZBACH MS, BCBA (DIRECTOR)
(714) 581-8660
Entity
Organization
Contact information
Practice address
1912 N BROADWAY, SUITE 108, SANTA ANA, CA 92706-2621
(714) 581-8660
(714) 955-4397
Mailing address
1912 N BROADWAY, SUITE 108, SANTA ANA, CA 92706-2641
(714) 581-8660
(714) 955-4397
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-13-14995
CA
106E00000X
Assistant Behavior Analyst
—
CA
106S00000X
Behavior Technician
—
CA
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13855358
CAQH
CA
Enumeration date
10/12/2016
Last updated
09/07/2020
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