Organization Active NPI

Stand ABA Therapy, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Surprise, AZ
National Provider Identifier
1679145205
Registry record updated Jul 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
STAND ABA THERAPY, LLC
Practice address
15516 N 172ND Dr
Surprise, AZ 85388-1221
Phone
(623) 633-3704
NPI assigned
Jul 13, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2021

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

Authorized official

Name
Darcy D CavesNPI 1952928285
Title
Owner
Phone
(623) 633-3704

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

15516 N 172ND Dr
Surprise, AZ 85388-1221

Mailing address

16772 W Bell Rd Ste 110-275
Surprise, AZ 85374-9702
Phone (623) 633-3704

Other names 1

  • Stand ABA Therapy, LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

16772 W Bell Rd
Ste 110275
Surprise, AZ 85374

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1626134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626134400000",
    "number": "1679145205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16772 W BELL RD STE 110-275",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853749702",
            "telephone_number": "623-633-3704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15516 N 172ND DR",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853881221",
            "telephone_number": "623-633-3704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAND ABA THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-13",
        "last_updated": "2021-07-13",
        "certification_date": "2021-05-28",
        "status": "A",
        "authorized_official_last_name": "CAVES",
        "authorized_official_first_name": "DARCY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-633-3704"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stand ABA Therapy, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Surprise, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2021; 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.