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NPI Code Detail

MEDICARE: ARIZONA AUTISM UNITED, INC.

MEDICARE: ARIZONA AUTISM UNITED, 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
1253Z00000XIn Home Supportive Care Agency
22355S0801XSpeech-Language Assistant
3235Z00000XSpeech-Language Pathologist
4251C00000XDevelopmentally Disabled Services Day Training Agency
5251S00000XCommunity/Behavioral Health Agency
6252Y00000XEarly Intervention Provider Agency
7103K00000XBehavior Analyst

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1760621379
Entity Type Code : Organization
Provider Name (Legal Business Name) : ARIZONA AUTISM UNITED, INC.
Provider Business Mailing Address
First Line : 5025 E WASHINGTON ST
Second Line : SUITE 212
City : PHOENIX
State : AZ
Zip : 85034-2005
Country : US
Telephone Number : 602-773-5773
Fax Number : 602-273-9108
Provider Business Practice Location Address
First Line : 5025 E WASHINGTON ST
Second Line : SUITE 212
City : PHOENIX
State : AZ
Zip : 85034-2005
Country : US
Telephone Number : 602-773-5773
Fax Number : 602-273-9108
Authorized Official
Title or Position : CHIEF EXECUTIVE OFFICER
Name : DR. AARON BLOCHER-RUBIN
Credential : PHD, LBA, BCBA
Telephone Number : 602-773-5774
Provider Enumeration Date : 02/05/2009
Last Update Date : 02/11/2020

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Directions to “ARIZONA AUTISM UNITED, INC. ” Practice Location

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