| Advanced Autism Services Llc | |
|
2375 E Camelback Rd Ste 600 Phoenix AZ 85016-3493 | |
| (602) 584-9860 | |
| (602) 715-1135 |
| Full Name | Advanced Autism Services Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2375 E Camelback Rd Ste 600, Phoenix, Arizona |
| Authorized Official Name and Position | Jason Hersko (DIRECTOR) |
| Authorized Official Contact | 6025849860 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Autism Services Llc 211 Boulevard Of Americas Ste 402 Lakewood NJ 08701-4778 Ph: (602) 584-9860 | Advanced Autism Services Llc 2375 E Camelback Rd Ste 600 Phoenix AZ 85016-3493 Ph: (602) 584-9860 |
| NPI Number | 1659932226 |
|---|---|
| Provider Enumeration Date | 06/25/2019 |
| Last Update Date | 10/13/2020 |
| Certification Date | 10/13/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659932226 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 106S00000X | Behavior Technician | (* (Not Available)) | Secondary |
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