NPI Code Details Logo

NPI 1588178149

NPI 1588178149 : ADVENTURE ABA, LLC : GLENDALE, AZ

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1588178149
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    ADVENTURE ABA, LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    11/18/2017
-----------------------------------------------------
    Last Update Date     |    09/26/2022
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    10150 W DESERT RIVER BLVD STE 160 
-----------------------------------------------------
    City                 |    GLENDALE
-----------------------------------------------------
    State                |    AZ
-----------------------------------------------------
    Zip                  |    85307-3010
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    623-693-2954
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    10150 W DESERT RIVER BLVD STE 160 
-----------------------------------------------------
    City                 |    GLENDALE
-----------------------------------------------------
    State                |    AZ
-----------------------------------------------------
    Zip                  |    85307-3010
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    623-693-2954
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    CO-FOUNDER & CEO
-----------------------------------------------------
    Name                 |     PAIGE NICOLE HUFF 
-----------------------------------------------------
    Credential           |    BCBA, LBA
-----------------------------------------------------
    Telephone            |    623-693-4766
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    103K00000X
-----------------------------------------------------
    Taxonomy Name        |    Behavior Analyst
-----------------------------------------------------
    License Number       |    267
-----------------------------------------------------
    License Number State |    AZ
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    103K00000X
-----------------------------------------------------
    Taxonomy Name        |    Behavior Analyst
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.