Ilea Marie Adams, BCBA
Individual provider Active NPI Behavior Analyst · Mesa, AZ
NPI 1114429222 · NPPES record last updated May 15, 2023
Key facts
- NPI
- 1114429222
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- Practice address
- 2150 S Country Club Dr Ste 38
Mesa, AZ 85210-6886 - Phone
- (510) 268-8130
- NPI assigned
- Mar 5, 2018
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mebe Arizona, LLC | Behavior Analyst | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst |
103K00000X | Yes |
Addresses
Primary practice location
2150 S Country Club Dr Ste 38
Mesa, AZ 85210-6886
Mailing address
2001 N Scottsdale Rd Apt 2016
Scottsdale, AZ 85257-0122
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 15, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.