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NPI Code Detail

MEDICARE: SAINT JOSEPHS AUTISM CENTER

MEDICARE: SAINT JOSEPHS AUTISM CENTER
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
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1871448019
Entity Type Code : Organization
Provider Name (Legal Business Name) : SAINT JOSEPHS AUTISM CENTER
Provider Business Mailing Address
First Line : 2942 N 24TH ST STE 115
Second Line :
City : PHOENIX
State : AZ
Zip : 85016-7849
Country : US
Telephone Number : 928-323-2832
Fax Number :
Provider Business Practice Location Address
First Line : 1901 W MADISON ST APT 257
Second Line :
City : PHOENIX
State : AZ
Zip : 85009-9502
Country : US
Telephone Number : 928-323-2832
Fax Number :
Authorized Official
Title or Position : OWNER/PROVIDER
Name : ADRIANA QUINTANA
Credential : BCBA
Telephone Number : 928-323-2832
Provider Enumeration Date : 03/03/2026
Last Update Date : 03/03/2026

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Directions to “SAINT JOSEPHS AUTISM CENTER ” Practice Location

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