Healthcare Provider Details

I. General information

NPI: 1598699068
Provider Name (Legal Business Name): ARIZONA AUTISM UNITED, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2026
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7170 W CAMINO SAN XAVIER STE 112
GLENDALE AZ
85308-0833
US

IV. Provider business mailing address

5025 E WASHINGTON ST STE 212
PHOENIX AZ
85034-7439
US

V. Phone/Fax

Practice location:
  • Phone: 602-773-5773
  • Fax: 602-273-9108
Mailing address:
  • Phone: 602-773-5773
  • Fax: 602-273-9180

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: AARON BLOCHER-RUBIN
Title or Position: CEO
Credential:
Phone: 602-773-5774