Healthcare Provider Details

I. General information

NPI: 1699691949
Provider Name (Legal Business Name): STORYBOOK ABA AZ LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2119 MCCULLOCH BLVD N
LAKE HAVASU CITY AZ
86403-6709
US

IV. Provider business mailing address

2119 MCCULLOCH BLVD N
LAKE HAVASU CITY AZ
86403-6709
US

V. Phone/Fax

Practice location:
  • Phone: 888-265-9140
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name: CHAYIM ROSENBERG
Title or Position: DIRECTOR
Credential:
Phone: 888-265-9140