NPI 1659932226 · live from the CMS NPI Registry
Advanced Autism Services LLC
Behavior Analyst in Phoenix, AZ. National Provider Identifier 1659932226, active.
NPI record
| NPI | 1659932226 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 2375 E Camelback Rd Ste 600, Phoenix, AZ 85016 |
| Practice phone | 602-584-9860 |
| Mailing address | 211 Boulevard Of Americas Ste 402, Lakewood, NJ 08701 |
| Enumerated | June 25, 2019 |
| Last updated | October 13, 2020 |
| Authorized official | Jason Hersko, Director |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Technician | 106S00000X | — |
| Behavior Analyst primary | 103K00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.