Healthcare Provider Details

I. General information

NPI: 1538089107
Provider Name (Legal Business Name): LYDIA PADILLA BCBA, LBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/15/2026
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3218 E BELL RD # 214
PHOENIX AZ
85032-2727
US

IV. Provider business mailing address

3218 E BELL RD # 214
PHOENIX AZ
85032-2727
US

V. Phone/Fax

Practice location:
  • Phone: 602-805-0950
  • Fax: 602-805-0940
Mailing address:
  • Phone: 602-805-0950
  • Fax: 602-805-0940

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License NumberBEH-002122
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: