Active NPI
Choice ABA Autism Services Az
- Behavior Analyst
- Phoenix, AZ
National Provider Identifier
1275210601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Legal business name
- CHOICE ABA AUTISM SERVICES AZ
- Practice address
- 2 N Central Ave Ste 1800
Phoenix, AZ 85004-2139 - Phone
- (732) 385-3300
- NPI assigned
- Jun 28, 2023
- 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
- Malky Segal
- Title
- Member
- Phone
- (347) 893-1437
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
2 N Central Ave Ste 1800
Phoenix, AZ 85004-2139
Mailing address
100 Matawan Rd Ste 325
Matawan, NJ 07747-3911
Phone (732) 385-3300
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687910400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1697241600000",
"number": "1275210601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 MATAWAN RD STE 325",
"city": "MATAWAN",
"state": "NJ",
"postal_code": "077473911",
"telephone_number": "732-385-3300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 N CENTRAL AVE STE 1800",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850042139",
"telephone_number": "732-385-3300"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHOICE ABA AUTISM SERVICES AZ",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-28",
"last_updated": "2023-10-14",
"certification_date": "2023-10-14",
"status": "A",
"authorized_official_last_name": "SEGAL",
"authorized_official_first_name": "MALKY",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "347-893-1437"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"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 Oct 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.