| Axis For Autism Llc | |
|
2451 E Baseline Rd Ste 420 Gilbert AZ 85234-2472 | |
| (602) 888-8883 | |
| Not Available |
| Full Name | Axis For Autism Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2451 E Baseline Rd Ste 420, Gilbert, Arizona |
| Authorized Official Name and Position | Andrea Stevens (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 6028888882 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Axis For Autism Llc 1645 E Missouri Ave Ste 320 Phoenix AZ 85016-3035 Ph: (602) 413-5397 | Axis For Autism Llc 2451 E Baseline Rd Ste 420 Gilbert AZ 85234-2472 Ph: (602) 888-8883 |
| NPI Number | 1093409807 |
|---|---|
| Provider Enumeration Date | 06/05/2023 |
| Last Update Date | 06/05/2023 |
| Certification Date | 06/05/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093409807 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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