NPIMap

Organization Active NPI

Center for Autism & Related Disorders, LLC

  • Behavior Analyst
  • Phoenix, AZ
National Provider Identifier
1104573807
Registry record updated Mar 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
CENTER FOR AUTISM & RELATED DISORDERS, LLC
Practice address
2400 W Dunlap Ave Ste 100
Phoenix, AZ 85021-2813
Phone
(602) 325-2485
NPI assigned
Mar 3, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Marianne Hanley
Title
Sr. Director of Network & Contracti
Phone
(818) 345-2345

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

2400 W Dunlap Ave Ste 100
Phoenix, AZ 85021-2813

Mailing address

5850 Granite Pkwy
Plano, TX 75024-6748
Phone (469) 694-1754

National Provider Directory

National Provider Directory
Tax ID family
Center for Autism and Related Disorders26 organizations share this tax ID, including this one

Other organizations with this tax ID 25

Organizations that report the same tax identification number in the National Provider Directory.

View all 25

Locations

2400 W Dunlap Ave
Ste 100
Phoenix, AZ 85021
Phone (602) 325-2485

5850 Granite Pkwy
Plano, TX 75024
Phone (801) 980-6501

Practitioners & affiliated clinicians

Practitioners 109

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 109

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1646265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646265600000",
    "number": "1104573807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5850 GRANITE PKWY",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750246748",
            "telephone_number": "469-694-1754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 W DUNLAP AVE STE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850212813",
            "telephone_number": "602-325-2485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR AUTISM & RELATED DISORDERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-03",
        "last_updated": "2022-03-03",
        "certification_date": "2022-03-03",
        "status": "A",
        "authorized_official_last_name": "HANLEY",
        "authorized_official_first_name": "MARIANNE",
        "authorized_official_title_or_position": "SR. DIRECTOR OF NETWORK & CONTRACTI",
        "authorized_official_telephone_number": "818-345-2345"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.