MEDICARE: FOUNDRY PEDIATRIC BEHAVIORAL HEALTH 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	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1134053770
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FOUNDRY PEDIATRIC BEHAVIORAL HEALTH LLC

Provider Business Mailing Address
First Line	:	3717 S 75TH DR
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85043-1220
Country	:	US
Telephone Number	:	619-955-5533
Fax Number	:

Provider Business Practice Location Address
First Line	:	3717 S 75TH DR
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85043-1220
Country	:	US
Telephone Number	:	619-955-5533
Fax Number	:

Authorized Official
Title or Position	:	FOUNDER
Name	:	SIRIKARN SANPUNDORN
Credential	:	BCBA, LBA
Telephone Number	:	619-905-5533

Provider Enumeration Date	:	06/10/2026
Last Update Date	:	06/10/2026

Similar Medicare Providers

1831022326 — MISS KENNEDY VICTORIA KIDD
Practice Location Address:

20025 N 20TH ST UNIT 138
PHOENIX, AZ
85024-1220

Practice Phone: 209-292-9059
Practice Fax: 209-292-9059

1780651158 — PHYSICAL THERAPY COMPLETE PLLC
Practice Location Address:

375 E VIRGINIA AVE , SUITE B
PHOENIX, AZ
85004-1220

Practice Phone: 602-264-5323
Practice Fax: 602-264-5302

1649247651 — MR. PAUL JOHN GLEASON P.T.
Practice Location Address:

375 E VIRGINIA AVE , SUITE B
PHOENIX, AZ
85004-1220

Practice Phone: 602-264-5323
Practice Fax: 602-264-5302

1083656474 — NATIVE AMERICAN CONNECTIONS
Practice Location Address:

337 E VIRGINIA AVE UNIT B
PHOENIX, AZ
85004-1220

Practice Phone: 602-254-3247
Practice Fax: 602-256-7356

1245590975 — CRYSTAL LYNN SPEIRS PTA
Practice Location Address:

375 E VIRGINIA AVE , SUITE B
PHOENIX, AZ
85004-1220

Practice Phone: 602-264-5323
Practice Fax: 602-264-5302

1437527835 — ABODE HOME HEALTH ARIZONA, LLC
Practice Location Address:

3550 N CENTRAL AVE STE 1220
PHOENIX, AZ
85012-2105

Practice Phone: 602-714-1410
Practice Fax:

Directions to “FOUNDRY PEDIATRIC BEHAVIORAL HEALTH LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.