Active NPI
Justified Behavioral Living LLC.
- Substance Abuse Rehabilitation Facility
- Mesa, AZ
National Provider Identifier
1104720499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- Legal business name
- JUSTIFIED BEHAVIORAL LIVING LLC.
- Practice address
- 3636 E Inverness Ave Apt 1034
Mesa, AZ 85206-3865 - Phone
- (480) 415-5376
- NPI assigned
- Oct 8, 2026
- Last updated
- Oct 8, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Skye Myles
- Title
- Ceo
- Phone
- (480) 415-5376
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | |||
| Substance Abuse Rehabilitation Facility | 324500000X | Primary |
Addresses
Primary practice location
3636 E Inverness Ave Apt 1034
Mesa, AZ 85206-3865
Mailing address
3636 E Inverness Ave Apt 1034
Mesa, AZ 85206-3865
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1791417600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1791417600000",
"number": "1104720499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3636 E INVERNESS AVE APT 1034",
"city": "MESA",
"state": "AZ",
"postal_code": "852063865"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3636 E INVERNESS AVE APT 1034",
"city": "MESA",
"state": "AZ",
"postal_code": "852063865",
"telephone_number": "480-415-5376"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JUSTIFIED BEHAVIORAL LIVING LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-08",
"last_updated": "2026-10-08",
"certification_date": "2026-10-08",
"status": "A",
"authorized_official_last_name": "MYLES",
"authorized_official_first_name": "SKYE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "480-415-5376"
},
"taxonomies": [
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": null,
"license": null,
"primary": false
},
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.