Organization Active NPI

Choice ABA Autism Services Az

  • Behavior Analyst
  • Phoenix, AZ
National Provider Identifier
1275210601
Registry record updated Oct 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
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

Updated by the provider on Oct 14, 2023

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)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.