Healthcare Provider Details

I. General information

NPI: 1811453434
Provider Name (Legal Business Name): ADVANCED AUTISM CENTER FOR TREATMENT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/19/2019
Last Update Date: 04/02/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1769 S PHEASANT DR
GILBERT AZ
85295-7714
US

IV. Provider business mailing address

1769 S PHEASANT DR
GILBERT AZ
85295-7714
US

V. Phone/Fax

Practice location:
  • Phone: 480-773-1061
  • Fax:
Mailing address:
  • Phone: 480-773-4511
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: JOSHUA AUER
Title or Position: CEO
Credential:
Phone: 480-389-4516