Elyse Angel-Martinez, BCBA
Behavior Analyst in Huntington Beach, CA. Individual provider (NPI-1).
NPI number1073095360
StatusActive
Last updated in NPPESOct 11, 2023
Details
- NPI
- 1073095360
- Entity type
- Individual (NPI-1)
- Name
- Elyse Angel-Martinez
- Credential
- BCBA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 3, 2018
- Certification date
- Oct 11, 2023
- Last updated
- Oct 11, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-20-45012 | CA | Yes |
| 106S00000X | Behavior Technician | – | – |
Other names
- Elyse Angel (Former Name)
Practice location
18700 Beach Blvd Ste 120Huntington Beach, CA 92648-2089
Phone 714-962-6760 · Fax 714-962-5961
Mailing address
18700 Beach Blvd Ste 120Huntington Beach, CA 92648-2089
Phone 714-962-6760 · Fax 714-962-5961
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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