Wellformed AI

NPI 1770471039 · live from the CMS NPI Registry

Able Kids Az LLC

Speech-Language Pathologist, in San Tan Valley, AZ. National Provider Identifier 1770471039, active.

NPI record

NPI1770471039 Type 2 · organization
StatusActive
Primary specialtySpeech-Language Pathologist, 235Z00000X
Practice location43507 N Ironwood Dr, San Tan Valley, AZ 85140
Practice phone480-757-2253
Mailing address464-22424 S Ellsworth Loop Rd, Queen Creek, AZ 85142
EnumeratedJune 25, 2025
Last updatedJune 25, 2025
Authorized officialShannon Farrell, Ceo

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Analyst103K00000X—
Psychologist103T00000X—
Assistant Behavior Analyst106E00000X—
Behavior Technician106S00000X—
Occupational Therapy Assistant224Z00000X—
Physical Therapist225100000X—
Physical Therapy Assistant225200000X—
Occupational Therapist225X00000X—
Specialist/Technologist, Speech-Language Assistant2355S0801X—
Speech-Language Pathologist, primary235Z00000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.