NPIMap

Organization Active NPI

Axis for Autism, LLC

  • Behavior Analyst
  • Gilbert, AZ
National Provider Identifier
1164285839
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
AXIS FOR AUTISM, LLC
Practice address
2451 E Baseline Rd Ste 420
Gilbert, AZ 85234-2472
Phone
(602) 888-8883
NPI assigned
Feb 5, 2024
Last updated
Feb 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2024

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

Authorized official

Name
Andrea Stevens
Title
Coo
Phone
(602) 888-8882

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

2451 E Baseline Rd Ste 420
Gilbert, AZ 85234-2472

Mailing address

1645 E Missouri Ave Ste 320
Phoenix, AZ 85016-3035
Phone (602) 413-5397

National Provider Directory

National Provider Directory
Tax ID family
Axis for Autism LLC7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

NPI Registry JSON

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

{
    "created_epoch": "1707091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707091200000",
    "number": "1164285839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1645 E MISSOURI AVE STE 320",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850163035",
            "telephone_number": "602-413-5397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2451 E BASELINE RD STE 420",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342472",
            "telephone_number": "602-888-8883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AXIS FOR AUTISM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-05",
        "last_updated": "2024-02-05",
        "certification_date": "2024-01-29",
        "status": "A",
        "authorized_official_last_name": "STEVENS",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "602-888-8882"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; 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.