CENTER FOR AUTISM & RELATED DISORDERS LLC NPI 1104573807

NPI Information

  • NPI: 1104573807
  • Provider Name: CENTER FOR AUTISM & RELATED DISORDERS, LLC
  • Classification: Behavior Analyst - 103K00000X
  • Entity Type: Organization
  • CLIA Number: 45D1101591
  • Address: 2400 W DUNLAP AVE STE 100
    PHOENIX, AZ
    ZIP 85021
  • Phone: (602) 325-2485

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NPI Details

CENTER FOR AUTISM & RELATED DISORDERS, LLC is a behavior analyst in Phoenix, AZ. The provider is 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. CENTER FOR AUTISM & RELATED DISORDERS, LLC NPI is 1104573807. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2400 W DUNLAP AVE STE 100
PHOENIX, AZ
ZIP 85021-813
Phone: (602) 325-2485

The provider's authorized official is Marianne Hanley .
The authorized official title is Sr. Director Of Network & Contracti and has the following contact phone number (818) 345-2345.

The CLIA number assigned to this NPI record is 45D1101591 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 3/3/2022 and was last updated on 3/3/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103K00000XBehavior AnalystYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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