Healthcare Provider Details

I. General information

NPI: 1639096068
Provider Name (Legal Business Name): EMERGE ABA AZ LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2828 N CENTRAL AVE STE 1000
PHOENIX AZ
85004-1027
US

IV. Provider business mailing address

2828 N CENTRAL AVE STE 1000
PHOENIX AZ
85004-1027
US

V. Phone/Fax

Practice location:
  • Phone: 718-534-7014
  • Fax:
Mailing address:
  • Phone: 718-534-7014
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: CHAIM GELDZAHLER
Title or Position: CEO
Credential: MSW
Phone: 718-534-7014