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NPI 1942187125

NPI 1942187125 : MASTER IT ABA THERAPY OF ARIZONA LLC : SCOTTSDALE, AZ

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General NPI Number Information
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    NPI Number           |    1942187125
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    Entity Type          |    Organization 
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    Legal Business Name  |    MASTER IT ABA THERAPY OF ARIZONA LLC 
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Dates
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    Enumeration Date     |    08/19/2025
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    Last Update Date     |    11/27/2025
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Provider Practice Location Address
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    Address Line         |    13051 N 70TH ST 
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    City                 |    SCOTTSDALE
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    State                |    AZ
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    Zip                  |    85254-4007
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    Country              |    US
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    Telephone            |    833-653-1800
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    58 BIRCH ST 
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    City                 |    LAKEWOOD
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    State                |    NJ
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    Zip                  |    08701-4701
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     SARA  ZISKIND 
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    Credential           |    
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    Telephone            |    833-653-1800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    103K00000X
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    Taxonomy Name        |    Behavior Analyst
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    251S00000X
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    Taxonomy Name        |    Community/Behavioral Health Agency
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    License Number       |    
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    License Number State |    
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