Active NPI
Extraordinary ABA
- Community/Behavioral Health Agency
- San Diego, CA
National Provider Identifier
1932087293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- EXTRAORDINARY ABA
- Practice address
- 1475 Island Ave Unit 3605
San Diego, CA 92101-8251 - Phone
- (858) 790-2334
- NPI assigned
- Aug 25, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Ramin Sediqi
- Title
- Director of Operations
- Phone
- (858) 790-2334
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary | ||
| Clinic/Center | 261Q00000X |
Addresses
Primary practice location
1475 Island Ave Unit 3605
San Diego, CA 92101-8251
Mailing address
705 Sierra LN
Flower Mound, TX 75028-7186
Phone (858) 790-2334
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1756080000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1756252800000",
"number": "1932087293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "705 SIERRA LN",
"city": "FLOWER MOUND",
"state": "TX",
"postal_code": "750287186",
"telephone_number": "858-790-2334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1475 ISLAND AVE UNIT 3605",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921018251",
"telephone_number": "858-790-2334"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EXTRAORDINARY ABA",
"organizational_subpart": "NO",
"enumeration_date": "2025-08-25",
"last_updated": "2025-08-27",
"certification_date": "2025-08-27",
"status": "A",
"authorized_official_last_name": "SEDIQI",
"authorized_official_first_name": "RAMIN",
"authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
"authorized_official_telephone_number": "858-790-2334",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.