MEDICARE: ABLEKIDS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QH0100X	Health Service Clinic/Center

General Provider Information

NPI Number	:	1083580286
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ABLEKIDS LLC

Provider Business Mailing Address
First Line	:	483 S CHALET AVE
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85748-4532
Country	:	US
Telephone Number	:	520-844-2200
Fax Number	:

Provider Business Practice Location Address
First Line	:	6700 E SPEEDWAY BLVD
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85710-1220
Country	:	US
Telephone Number	:	520-844-2200
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MS. WENDY BRODER
Credential	:	BCBA
Telephone Number	:	702-245-8494

Provider Enumeration Date	:	10/14/2025
Last Update Date	:	04/07/2026

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Directions to “ABLEKIDS LLC ” Practice Location

Language	Start Address	Practice Location

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