Healthcare Provider Details

I. General information

NPI: 1649132465
Provider Name (Legal Business Name): ABOVE AND BEYOND ABA AZ LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/01/2025
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1846 E INNOVATION PARK DR STE 100
ORO VALLEY AZ
85755-1963
US

IV. Provider business mailing address

1846 E INNOVATION PARK DR STE 100
ORO VALLEY AZ
85755-1963
US

V. Phone/Fax

Practice location:
  • Phone: 520-277-3996
  • 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: MATT ROKOWSKY
Title or Position: MANAGER
Credential:
Phone: 520-277-3996