MEDICARE: MASTER IT ABA THERAPY OF ARIZONA LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency
2	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1942187125
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MASTER IT ABA THERAPY OF ARIZONA LLC

Provider Business Mailing Address
First Line	:	58 BIRCH ST
Second Line	:
City	:	LAKEWOOD
State	:	NJ
Zip	:	08701-4701
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	13051 N 70TH ST
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85254-4007
Country	:	US
Telephone Number	:	833-653-1800
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SARA ZISKIND
Credential	:
Telephone Number	:	833-653-1800

Provider Enumeration Date	:	08/19/2025
Last Update Date	:	06/22/2026

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