MEDICARE: APPLIED ABC ARIZONA INC

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	:	1578216040
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	APPLIED ABC ARIZONA INC

Provider Business Mailing Address
First Line	:	4601 SHERIDAN ST STE 501
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33021-3435
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8581 N 61ST AVE BLDG A
Second Line	:
City	:	GLENDALE
State	:	AZ
Zip	:	85302-5493
Country	:	US
Telephone Number	:	866-352-5010
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	GITTY ENDZWEIG
Credential	:
Telephone Number	:	866-352-5010

Provider Enumeration Date	:	02/03/2022
Last Update Date	:	12/09/2025

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Directions to “APPLIED ABC ARIZONA INC ” Practice Location

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