Healthcare Provider Details

I. General information

NPI: 1437096005
Provider Name (Legal Business Name): NICHE ABA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2026
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1421 W SUSSEX ST
SAN TAN VALLEY AZ
85143-1423
US

IV. Provider business mailing address

1421 W SUSSEX ST
SAN TAN VALLEY AZ
85143-1423
US

V. Phone/Fax

Practice location:
  • Phone: 480-385-9555
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: BRIAR ECHOLS
Title or Position: PROGRAM SUPERVISOR
Credential: BCBA, LBA
Phone: 480-385-9555