Organization Active NPI

Flourish ABA Behavioral Health Services

  • Community/Behavioral Health Agency
  • Santa Ana, CA
National Provider Identifier
1578013777
Registry record updated Sep 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
FLOURISH ABA BEHAVIORAL HEALTH SERVICES
Doing business as
Flourish ABA Behavioral Health Services
Practice address
1912 N Broadway
Suite 108
Santa Ana, CA 92706-2621
Phone
(714) 581-8660
Fax
(714) 955-4397
NPI assigned
Oct 12, 2016
Last updated
Sep 7, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
BRIGHTWAY ABA BEHAVIORAL HEALTH SERVICES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 7, 2020

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

Authorized official

Name
Janice Botzbach, MS, BCBANPI 1942617790
Title
Director
Phone
(714) 581-8660

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Behavior Analyst 103K00000X 1-13-14995 CA
Community/Behavioral Health Agency 251S00000X Primary
Assistant Behavior Analyst 106E00000X CA
Behavior Technician 106S00000X CA

Addresses

Primary practice location

1912 N Broadway
Suite 108
Santa Ana, CA 92706-2621

Mailing address

1912 N Broadway
Suite 108
Santa Ana, CA 92706-2641
Phone (714) 581-8660

Other practice location 1

5101 Tortuga Drive
207
Huntington Beach, CA 92649
Phone (714) 581-8660

Other practice location 2

4000 Long Beach Boulevard
Suite 259
Long Beach, CA 90807-2617
Phone (714) 581-8660

Other identifiers 1

IdentifierTypeStateIssuer
13855358OtherCACAQH

Other names 1

  • Flourish ABA Behavioral Health Services Doing business as

National Provider Directory

National Provider Directory
Part of
Flourish ABA Behavioral Health Services

Locations

3703 Long Beach Blvd
Ste 500
Long Beach, CA 90807

4000 Long Beach Blvd
Ste 259
Long Beach, CA 90807
Phone (714) 581-8660

1912 N Broadway
Ste 108
Santa Ana, CA 92706
Phone (714) 581-8660

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1476230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599436800000",
    "number": "1578013777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1912 N BROADWAY",
            "address_2": "SUITE 108",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927062641",
            "telephone_number": "714-581-8660",
            "fax_number": "714-955-4397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1912 N BROADWAY",
            "address_2": "SUITE 108",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927062621",
            "telephone_number": "714-581-8660",
            "fax_number": "714-955-4397"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5101 Tortuga Drive",
            "address_2": "207",
            "address_purpose": "LOCATION",
            "city": "Huntington Beach",
            "state": "CA",
            "postal_code": "92649",
            "country_code": "US",
            "telephone_number": "714-581-8660",
            "fax_number": "714-955-4397",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4000 Long Beach Boulevard",
            "address_2": "Suite 259",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908072617",
            "country_code": "US",
            "telephone_number": "714-581-8660",
            "fax_number": "714-955-4397",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FLOURISH ABA BEHAVIORAL HEALTH SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BRIGHTWAY ABA BEHAVIORAL HEALTH SERVICES, LLC",
        "enumeration_date": "2016-10-12",
        "last_updated": "2020-09-07",
        "certification_date": "2020-09-07",
        "status": "A",
        "authorized_official_last_name": "BOTZBACH",
        "authorized_official_first_name": "JANICE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "714-581-8660",
        "authorized_official_credential": "MS, BCBA"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-13-14995",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "13855358",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Flourish ABA Behavioral Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2020; 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.