Healthcare Provider Details

I. General information

NPI: 1861538688
Provider Name (Legal Business Name): ACTIVITIES FOR DEVELOPMENT, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/29/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20815 N 25TH PL SUITE 105
PHOENIX AZ
85050-4608
US

IV. Provider business mailing address

20815 N 25TH PL SUITE 105
PHOENIX AZ
85050-4608
US

V. Phone/Fax

Practice location:
  • Phone: 602-404-8102
  • Fax: 602-466-2834
Mailing address:
  • Phone: 602-404-8102
  • Fax: 602-466-2834

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: MISS CARLINA CUTTLER
Title or Position: OWNER-PRESIDENT
Credential: OTR
Phone: 602-404-8102