ARIZONA BEHAVIOR & AUTISM LLC


Address: 4885 S Houghton Rd, A, Tucson, AZ 85730-5201
Phone: 5208203650

ARIZONA BEHAVIOR & AUTISM LLC (NPI# 1740696673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1740696673
Entity Type Organization
Organization Name ARIZONA BEHAVIOR & AUTISM LLC
Practice Address 4885 S Houghton Rd
A
Tucson
AZ 85730-5201
Practice Telephone 5208203650
Enumeration Date 2014-07-11
Last Update Date 2014-07-11
Authorized Official Name MICHELLE MASTRANGELO (EXEC. DIRECTOR)
Authorized Official Telephone 5208203650
Authorized Official Credential M.ED., BCBA, LBA
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QD1600X Clinic/Center
Specialization: Developmental Disabilities
83 AZ Ambulatory Health Care Facilities

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1174923197 Arizona Behavior & Autism LLC Early Intervention Provider Agency 4885 S Houghton Rd Unit 1, Tucson, AZ 85730-5202 2014-08-27

Office Location

Street Address 4885 S HOUGHTON RD
A
City TUCSON
State AZ
Zip Code 85730-5201

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1285037648 Eden Huang Physician Assistant 6950 E Golf Links, Tucson, AZ 85730 2014-09-30
1881002376 Chisom P Umogbai Optometrist 7046 E Golf Links Rd, Tucson, AZ 85730 2014-07-28
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1619399276 Karla J. Gracia Counselor 8050 E. Lakeside Pkwy, Tucson, AZ 85730 2014-01-15
1780934505 Kendrah Jordan Davis Contractor 3226 South Lakeside Drive, Tucson, AZ 85730 2012-09-19
1619287620 Mukesh N Shah Physician Assistant 6455 E Nelson Dr, Tucson, AZ 85730 2010-10-12
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Taxonomy Information

Taxonomy Code 261QD1600X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Developmental Disabilities

Taxonomy Definition

An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1942606298 Debra Jacobs Ma Otr Clinic/Center 5940 E Placita Alta Reposa, Tucson, AZ 85750-1058 2014-11-14

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1013467513 Casa Grande Elementary School District Clinic/Center 220 W Kortsen Rd, Casa Grande, AZ 85122-5910 2016-10-07
1962784249 Theracare Pllc Clinic/Center 9385 W Donald Dr, Peoria, AZ 85383-2988 2011-09-13
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1366756520 Horton Pediatric Therapy Services, Pllc Clinic/Center 486 E Twelve Oaks Dr, Flagstaff, AZ 86001-7062 2010-07-29
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Competitor

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City TUCSON
Zip Code 85730

Improve Information

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Dataset Information

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.

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