Organization Active NPI

Arizona Behavior & Autism LLC

Doing business as ABA LLC

  • Community/Behavioral Health Agency
  • Tucson, AZ
National Provider Identifier
1174923197
Registry record updated Aug 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
83 Issued in AZ
Legal business name
ARIZONA BEHAVIOR & AUTISM LLC
Doing business as
ABA LLC
Practice address
4885 S Houghton Rd Unit 1
Tucson, AZ 85730-5202
Phone
(520) 820-3650
Fax
(520) 722-7038
NPI assigned
Aug 27, 2014
Last updated
Aug 27, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2014

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

Authorized official

Name
Ms. Michelle Mastrangelo, LBA BCBANPI 1396038139
Title
Founder/Executive Director
Phone
(520) 820-3650

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 83 AZ
Community/Behavioral Health Agency 251S00000X 83 AZ Primary
Early Intervention Provider Agency 252Y00000X 83 AZ

Addresses

Primary practice location

4885 S Houghton Rd Unit 1
Tucson, AZ 85730-5202

Mailing address

4885 S Houghton Rd # a
Tucson, AZ 85730-5201
Phone (520) 820-3650

Other names 1

  • ABA LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
ABA LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1409097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409097600000",
    "number": "1174923197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4885 S HOUGHTON RD # A",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857305201",
            "telephone_number": "520-820-3650",
            "fax_number": "520-722-7038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4885 S HOUGHTON RD UNIT 1",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857305202",
            "telephone_number": "520-820-3650",
            "fax_number": "520-722-7038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA BEHAVIOR & AUTISM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-27",
        "last_updated": "2014-08-27",
        "status": "A",
        "authorized_official_last_name": "MASTRANGELO",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "FOUNDER/EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "520-820-3650",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LBA BCBA"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "AZ",
            "license": "83",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AZ",
            "license": "83",
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "AZ",
            "license": "83",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ABA LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2014; 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.