Axis for Autism LLC

Psychologist · Phoenix, AZ

Organization Active NPI

NPI number 1619553963

Practice location

1645 E Missouri Ave Ste 320
Phoenix, AZ 85016-3035
Phone
(602) 888-8882

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NPI record

NPI
1619553963
Entity type
Organization (Type 2)
Enumeration date
March 18, 2021
Last updated
June 5, 2023
Certified
June 5, 2023
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Psychologist Primary 103T00000X — —
Behavior Analyst 103K00000X — —

Mailing address

5844 E Lafayette Blvd
Phoenix, AZ 85018-4659

Authorized official

Name
Andrea Stevens
Title
COO
Phone
(602) 413-5397

About Axis for Autism LLC

Axis for Autism LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Psychologist (code 103T00000X). The practice location is 1645 E Missouri Ave Ste 320, Phoenix, AZ 85016-3035. The NPI number 1619553963 was assigned on March 18, 2021 and the record was last updated on June 5, 2023.

The authorized official for this organization is Andrea Stevens, COO.

Frequently asked questions

What is the NPI number of Axis for Autism LLC?

The NPI number is 1619553963.

What is the phone number of Axis for Autism LLC?

The phone number listed for the practice location is (602) 888-8882.

Where is Axis for Autism LLC located?

1645 E Missouri Ave Ste 320, Phoenix, AZ 85016-3035.

What is the taxonomy code for Axis for Autism LLC?

The primary taxonomy code is 103T00000X – Psychologist; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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