| Arizona Autism United - East Valley Center | |
|
4309 E Florian Ave Mesa AZ 85206-2798 | |
| (602) 773-5773 | |
| (602) 273-9108 |
| Full Name | Arizona Autism United - East Valley Center |
|---|---|
| Speciality | Behavior Analyst |
| Location | 4309 E Florian Ave, Mesa, Arizona |
| Authorized Official Name and Position | Aaron Blocher-rubin (CEO) |
| Authorized Official Contact | 6027735774 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Arizona Autism United - East Valley Center 5025 E Washington St Ste 212 Phoenix AZ 85034-7439 Ph: (602) 773-5773 | Arizona Autism United - East Valley Center 4309 E Florian Ave Mesa AZ 85206-2798 Ph: (602) 773-5773 |
| NPI Number | 1750913364 |
|---|---|
| Provider Enumeration Date | 02/11/2020 |
| Last Update Date | 02/16/2020 |
| Certification Date | 02/16/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750913364 | NPI | - | NPPES |
| 001060 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
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