MEDICARE: MEBE ARIZONA, LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	235Z00000X	Speech-Language Pathologist
2	106E00000X	Assistant Behavior Analyst
3	106S00000X	Behavior Technician
4	225X00000X	Occupational Therapist
5	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1255972899
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEBE ARIZONA, LLC

Provider Business Mailing Address
First Line	:	3878 RUFFIN RD STE B
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92123-1842
Country	:	US
Telephone Number	:	619-795-9925
Fax Number	:	877-602-5087

Provider Business Practice Location Address
First Line	:	2150 S COUNTRY CLUB DR STE 36
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85210-6886
Country	:	US
Telephone Number	:	619-795-9925
Fax Number	:

Authorized Official
Title or Position	:	CO-OWNER
Name	:	ABIGAIL BUNT
Credential	:
Telephone Number	:	619-606-5858

Provider Enumeration Date	:	10/04/2019
Last Update Date	:	07/03/2025

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Directions to “MEBE ARIZONA, LLC ” Practice Location

Language	Start Address	Practice Location

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