Organization Active NPI

Desert Edge Mentoring Services

  • Behavior Technician
  • Glendale, AZ
National Provider Identifier
1487552592
Registry record updated Oct 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Legal business name
DESERT EDGE MENTORING SERVICES
Practice address
4425 W Olive Ave
Glendale, AZ 85302-3843
Phone
(602) 237-2485
Fax
(602) 274-6531
NPI assigned
Oct 28, 2026
Last updated
Oct 30, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
DESERT EDGE MENTORING SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 30, 2026

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

Authorized official

Name
Mr. Dennis Gregory
Title
Executive Director
Phone
(602) 237-2485

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 106S00000X Primary

Addresses

Primary practice location

4425 W Olive Ave
Glendale, AZ 85302-3843

Mailing address

PO Box 1097
Laveen, AZ 85339-1097
Phone (602) 237-2485

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1793145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793318400000",
    "number": "1487552592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1097",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853391097",
            "telephone_number": "602-237-2485",
            "fax_number": "602-274-6531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4425 W OLIVE AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853023843",
            "telephone_number": "602-237-2485",
            "fax_number": "602-274-6531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT EDGE MENTORING SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DESERT EDGE MENTORING SERVICES",
        "enumeration_date": "2026-10-28",
        "last_updated": "2026-10-30",
        "certification_date": "2026-10-30",
        "status": "A",
        "authorized_official_last_name": "GREGORY",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "602-237-2485",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.