DR. ANDREW WADE


Address: 2800 N Highway 87, Coolidge, AZ 85128-9460
Phone: 5207232600

DR. ANDREW WADE (NPI# 1831686161) 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) 1831686161
Entity Type Individual
Full Name DR. ANDREW WADE
Credential PSYD, LBA, BCBA
Practice Address 2800 N Highway 87
Coolidge
AZ 85128-9460
Mailing Address 12320 N Paseo Penuela
Marana
AZ 85658-4704
Practice Telephone 5207232600
Mailing Telephone 5208345561
Enumeration Date 2018-04-23
Last Update Date 2020-08-12
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103K00000X Behavioral Analyst BA-326 AZ Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
BEHAVIOR ANALYST CERTIFICATION BOARD (BACB) 1-17-27845 01
AZ BOARD OF PSYCHOLOGIST EXAMINERS BA-326 01

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Office Location

Street Address 2800 N HIGHWAY 87
City COOLIDGE
State AZ
Zip Code 85128-9460

Providers in the same location

NPI Name Taxonomy Address Enumeration
1063623718 Patricia Florence Perez Contractor 2800 N Highway 87, Coolidge, AZ 85228-9460 2007-05-24

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1629636253 Terhea A Smith Physical Therapy Assistant 2155 W Pima Ave, Coolidge, AZ 85128 2019-05-29
1912310913 Josette Rossi Counselor 556 South Arizona Ave., Pinal Hispanic Council, Coolidge, AZ 85128 2014-06-06
1952745531 Community Partners Integrated Healthcare, Inc. Community/Behavioral Health 120b N Arizona Blvd., Ste. F, Coolidge, AZ 85128 2013-04-25
1346550878 Laura Grace Lew Registered Nurse 800 W. Northern Ave., Coolidge, AZ 85128 2010-10-18
1962682203 Douglas Santiago Audiologist 4713 West Ginger Avenue, Coolidge, AZ 85128 2007-11-04
1528113859 Pinal County Arizona Public Health or Welfare 119 W. Central Avenue, Coolidge, AZ 85128 2007-01-25
1265085567 The River's Edge Dental Dentist 1185 N Arizona Blvd, Coolidge, AZ 85128 2019-07-17
1700291440 Robin Wilson Nurse Practitioner 1284 N Arizona Blvd, Coolidge, AZ 85128 2014-06-20
1407981384 Max A Almodovar Dentist 417 W Central Ave, Ste #a, Coolidge, AZ 85128-0028 2007-02-22
1093805160 Michael Eugene Wilkinson Dentist 1185 N Arizona Blvd, Coolidge, AZ 85128-3203 2006-10-12
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Taxonomy Information

Taxonomy Code 103K00000X
Grouping Behavioral Health & Social Service Providers
Classification Behavioral Analyst

Taxonomy Definition

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]

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1164029617 Lacuna Autism Services LLC Behavioral Analyst 10812 W Monte Vista Rd, Avondale, AZ 85392-5408 2020-10-07
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1326663808 Keisha M Solis Behavioral Analyst 99 W Palomino Dr Apt 208, Chandler, AZ 85225-7713 2020-06-10
1215559810 Elite Community Services, LLC Behavioral Analyst 3651 E Baseline Rd Ste E-222, Gilbert, AZ 85234-2689 2020-05-18
1992327183 Carol Bell Behavioral Analyst 4560 S Centric Way, Mesa, AZ 85212-9508 2020-05-11
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Competitor

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City COOLIDGE
Zip Code 85128

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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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