ADVANCED AUTISM SERVICES LLC (NPI# 1659932226) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659932226 |
| Entity Type | Organization |
| Organization Name | ADVANCED AUTISM SERVICES LLC |
| Practice Address |
2375 E Camelback Rd Ste 600 Phoenix AZ 85016-3493 |
| Mailing Address |
211 Boulevard of Americas Ste 402 Lakewood NJ 08701-4778 |
| Practice Telephone | 6025849860 |
| Practice Fax Number | 6027151135 |
| Mailing Telephone | 6025849860 |
| Mailing Fax Number | 6027151135 |
| Enumeration Date | 2019-06-25 |
| Last Update Date | 2020-10-13 |
| Authorized Official Name | JASON HERSKO (DIRECTOR) |
| Authorized Official Telephone | 6025849860 |
| Authorized Official Credential | MS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers | ||
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| Street Address |
2375 E CAMELBACK RD STE 600 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85016-3493 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164667739 | Kelly L England | Registered Nurse | 2375 E Camelback Rd Ste 600, Phoenix, AZ 85016-3493 | 2008-12-10 |
| 1518574201 | Vital Hospice Care, Inc. | Hospice Care, Community Based | 2375 E Camelback Rd Ste 600, Phoenix, AZ 85016-3493 | 2020-09-26 |
| 1801427844 | Sip Home Systems - Sun City LLC | Family Medicine | 2375 E Camelback Rd Ste 600, Phoenix, AZ 85016-3493 | 2020-01-29 |
| 1033754965 | Chris A. Arger, Ph.d., Pllc | Psychologist | 2375 E Camelback Rd Ste 600, Phoenix, AZ 85016-3493 | 2019-11-14 |
| 1912480013 | Christopher Arger | Psychologist | 2375 E Camelback Rd Ste 600, Phoenix, AZ 85016-3493 | 2018-09-13 |
| 1417437526 | Einfectionmd, LLC | Internal Medicine | 2375 E Camelback Rd Ste 600, Phoenix, AZ 85016-3493 | 2018-08-17 |
| 1073003059 | Katie Rose Vogan | Registered Nurse | 2375 E Camelback Rd Ste 600, Phoenix, AZ 85016-3493 | 2018-05-15 |
| 1447761796 | Samar Riaz | Naturopath | 2375 E Camelback Rd Ste 600, Phoenix, AZ 85016-3493 | 2017-10-13 |
| 1861927758 | Megan Elizabeth Ford | Psychologist | 2375 E Camelback Rd Ste 600, Phoenix, AZ 85016-3493 | 2017-04-27 |
| 1598210767 | Levitan and Associates Psychological Services | Psychologist | 2375 E Camelback Rd Ste 600, Phoenix, AZ 85016-3493 | 2016-08-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851992705 | Heatheranne Baker-oldfield | Counselor | 2415 E Camelback Rd Ste 700, Phoenix, AZ 85016 | 2020-11-06 |
| 1780215681 | Sip Home Systems - Mesa LLC | Home Health | 24th At Camelback, 2375 E. Camelback Rd., Suite 600, Phoenix, AZ 85016 | 2020-01-29 |
| 1760945588 | Wei Wei | Student in an Organized Health Care Education/Training Program | Phoenix Children's Hospital 1919 E. Thomas Rd., Phoenix, AZ 85016 | 2019-04-09 |
| 1942765623 | Grace Hatfield | Dietitian, Registered | Phoenix Childrens Hospital 1919 E Thomas Rd, Phoenix, AZ 85016 | 2019-02-06 |
| 1861977027 | Dawn Yvette Lima | Occupational Therapy Assistant | 3128 E Cheery Ln, Phoenix, AZ 85016 | 2018-10-03 |
| 1720583685 | Kristin Pauline Hicklin | Registered Nurse | 2930 E Camelback Rd Ste 100, Phoenix, AZ 85016 | 2018-03-24 |
| 1588181622 | Taness Eyre Billington | Pharmacist | 1625 E. Camelback Rd., Phoenix, AZ 85016 | 2017-08-29 |
| 1093239048 | Emma Ross | Psychologist | 1919 E Thomas Rd Bldg 4th, Phoenix, AZ 85016 | 2017-08-01 |
| 1609396985 | Mohammed Waseemuddin | Student in an Organized Health Care Education/Training Program | Phoenix Children's Hospital, 1919 E Thomas Rd, Phoenix, AZ 85016 | 2017-06-27 |
| 1144777632 | Amanda Mazerall | Occupational Therapist | 4333 N 24th Street, Apartment 223, Phoenix, AZ 85016 | 2016-09-01 |
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| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773643 | Athra Khdaier | Behavioral Analyst | 10873 W Devonshire Ave, Phoenix, AZ 85037-5760 | 2020-09-04 |
| 1730793076 | Shelby Leinweber | Behavioral Analyst | 2095 W Pinnacle Peak Rd Ste 110b, Phoenix, AZ 85027-1247 | 2020-09-03 |
| 1821609413 | Sonoran Learning and Behavioral Services LLC | Behavioral Analyst | 34225 N 27th Dr Bldg 4b, Phoenix, AZ 85085-6087 | 2020-08-17 |
| 1225657547 | Az Sprout Mc 1 LLC | Behavioral Analyst | 21725 N 20th Ave Ste 101-102, Phoenix, AZ 85027-2640 | 2020-04-16 |
| 1053953943 | Katelyn Paige Brown | Behavioral Analyst | 4602 E University Dr Ste 130, Phoenix, AZ 85034-7430 | 2019-10-11 |
| 1487204087 | Elizabeth Vos | Behavioral Analyst | 2025 N 3rd St Ste 250, Phoenix, AZ 85004-1472 | 2019-09-16 |
| 1740832831 | Brandon Nehus | Behavioral Analyst | 14603 Old York Rd, Phoenix, MD 21131-1441 | 2019-07-10 |
| 1689137309 | Dylan Marks | Behavioral Analyst | 1117 E Beryl Ave, Phoenix, AZ 85020-1539 | 2019-04-09 |
| 1295297968 | Michelle Taylor | Behavioral Analyst | 1625 W Pecan Rd, Phoenix, AZ 85041-4640 | 2019-04-02 |
| 1275038713 | Jamilah Amirah | Behavioral Analyst | 11024 N 28th Dr Ste 110, Phoenix, AZ 85029 | 2018-03-27 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.