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General NPI Number Information
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NPI Number | 1285545475
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Entity Type | Organization
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Legal Business Name | AXIS FOR AUTISM LLC
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Dates
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Enumeration Date | 09/15/2026
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Last Update Date | 09/15/2026
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Provider Practice Location Address
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Address Line | 505 E PLAZA CIR DR STE 505C
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City | LITCHFIELD PARK
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State | AZ
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Zip | 85340-4919
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Country | US
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Telephone | 602-888-8882
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Fax | 602-883-7254
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Provider Business Mailing Address
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Address Line | 7720 N 16TH ST STE 325
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City | PHOENIX
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State | AZ
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Zip | 85020-7421
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Country | US
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Telephone | 602-888-8882
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Fax | 602-883-7254
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Authorized Official
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Title or Position | CHIEF STRATEGY OFFICER
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Name | ANDREA STEVENS
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Credential |
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Telephone | 602-888-8882
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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