Organization · Type 2 NPI

Extraordinary Aba

Community/Behavioral Health Agency · San Diego, CA

NPI number 1932087293 Active

Practice location

1475 Island Ave Unit 3605
San Diego, CA 92101-8251

Mailing address

705 Sierra Ln
Flower Mound, TX 75028-7186

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000XNone listed
Clinic/Center 261Q00000XNone listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1932087293

Extraordinary Aba's National Provider Identifier is 1932087293, issued on Aug 25, 2025. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in San Diego, CA. The record was last updated on Aug 27, 2025.