Organization Active NPI

Ascend ABA Support

  • Behavior Analyst
  • Garden Grove, CA
National Provider Identifier
1508710476
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
ASCEND ABA SUPPORT
Practice address
12465 Lewis St Ste 204
Garden Grove, CA 92840-4647
Phone
(714) 231-4548
NPI assigned
Feb 25, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Efrain Davalos Jr.
Title
Secretary
Phone
(714) 720-1378

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

12465 Lewis St Ste 204
Garden Grove, CA 92840-4647

Mailing address

12465 Lewis St Ste 204
Garden Grove, CA 92840-4647
Phone (714) 231-4548

National Provider Directory

National Provider Directory

Locations

12465 Lewis St
Ste 204
Garden Grove, CA 92840
Phone (714) 231-4548

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1771977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771977600000",
    "number": "1508710476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12465 LEWIS ST STE 204",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928404647",
            "telephone_number": "714-231-4548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12465 LEWIS ST STE 204",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928404647",
            "telephone_number": "714-231-4548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASCEND ABA SUPPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-25",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A",
        "authorized_official_last_name": "DAVALOS",
        "authorized_official_first_name": "EFRAIN",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "714-720-1378",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.