SOUTHWEST AUTISM RESEARCH AND RESOURCE CENTER NPI 1689741357

NPI Information

  • NPI: 1689741357
  • Provider Name: SOUTHWEST AUTISM RESEARCH AND RESOURCE CENTER
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Former Legal Business Name: SOUTHWEST AUTISM RESEARCH CENTER, PHOENIX AUTISM RESEARCH CENTER
  • CLIA Number: 03D1069890
  • Address: 300 N 18TH ST
    PHOENIX, AZ
    ZIP 85006
  • Phone: (602) 340-8717

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NPI Details

SOUTHWEST AUTISM RESEARCH AND RESOURCE CENTER is a clinic center in Phoenix, AZ. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). SOUTHWEST AUTISM RESEARCH AND RESOURCE CENTER NPI is 1689741357. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Southwest Autism Research Center, Phoenix Autism Research Center.

The provider's business location address is:

300 N 18TH ST
PHOENIX, AZ
ZIP 85006-103
Phone: (602) 340-8717

The provider's authorized official is Brian Shaw .
The authorized official title is DIRECTOR OF FINANCEFinance and has the following contact phone number (602) 218-8211.

The CLIA number assigned to this NPI record is 03D1069890 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/29/2006 and was last updated on 1/2/2024.

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
1261Q00000XClinic/CenterYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1825557MEDICAIDARIZONA

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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