Active NPI
Blue ABA Arizona LLC
- Community/Behavioral Health Agency
- Phoenix, AZ
National Provider Identifier
1255038667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- BLUE ABA ARIZONA LLC
- Practice address
- 4600 E Washington St Ste 300
Phoenix, AZ 85034-1908 - Phone
- (623) 335-4283
- NPI assigned
- Feb 15, 2023
- Last updated
- Mar 18, 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
- Gershon Fink
- Title
- Ceo
- Phone
- (786) 521-1587
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | NU | Primary |
Addresses
Primary practice location
4600 E Washington St Ste 300
Phoenix, AZ 85034-1908
Mailing address
3921 Alton Rd Unit 107
Miami Beach, FL 33140-3852
Phone (786) 521-1587
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Pediatric Anesthesiology Physician
- Delray Beach, FL
- NPI 1518114644
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676419200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1773792000000",
"number": "1255038667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3921 ALTON RD UNIT 107",
"city": "MIAMI BEACH",
"state": "FL",
"postal_code": "331403852",
"telephone_number": "786-521-1587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4600 E WASHINGTON ST STE 300",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850341908",
"telephone_number": "623-335-4283"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLUE ABA ARIZONA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-02-15",
"last_updated": "2026-03-18",
"certification_date": "2026-03-18",
"status": "A",
"authorized_official_last_name": "FINK",
"authorized_official_first_name": "GERSHON",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "786-521-1587"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NU",
"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 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.