Active NPI
Ahead ABA Az L.L.C
- Behavior Analyst
- Phoenix, AZ
National Provider Identifier
1366323784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Legal business name
- AHEAD ABA AZ L.L.C
- Practice address
- 4539 N 22ND St Ste R
Phoenix, AZ 85016-4639 - Phone
- (929) 884-1068
- NPI assigned
- Sep 11, 2025
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Mr. Judah Edelstein
- Title
- Ceo
- Phone
- (929) 884-1068
National Provider Directory
National Provider DirectorySpecialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary | ||
| Community/Behavioral Health Agency | 251S00000X |
Addresses
NPPES NPI RegistryPrimary practice location
4539 N 22ND St Ste R
Phoenix, AZ 85016-4639
Mailing address
1 Green Hill LN
Spring Valley, NY 10977-1608
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 17, 2026.
{
"created_epoch": "1757548800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1773705600000",
"number": "1366323784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 GREEN HILL LN",
"city": "SPRING VALLEY",
"state": "NY",
"postal_code": "109771608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4539 N 22ND ST STE R",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850164639",
"telephone_number": "929-884-1068"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AHEAD ABA AZ L.L.C",
"organizational_subpart": "NO",
"enumeration_date": "2025-09-11",
"last_updated": "2026-03-17",
"certification_date": "2026-03-17",
"status": "A",
"authorized_official_last_name": "EDELSTEIN",
"authorized_official_first_name": "JUDAH",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "929-884-1068",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
}
],
"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 17, 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.