NPIMap

Organization Active NPI

Arizona Behavior & Autism LLC

  • Developmental Disabilities Clinic/Center
  • Tucson, AZ
National Provider Identifier
1740696673
Registry record updated Jul 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
License
83 Issued in AZ
Legal business name
ARIZONA BEHAVIOR & AUTISM LLC
Practice address
4885 S Houghton Rd
A
Tucson, AZ 85730-5201
Phone
(520) 820-3650
NPI assigned
Jul 11, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2014

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

Authorized official

Name
Michelle Mastrangelo, M.ED., BCBA, LBANPI 1396038139
Title
Exec. Director
Phone
(520) 820-3650

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X 83 AZ Primary

Addresses

Primary practice location

4885 S Houghton Rd
A
Tucson, AZ 85730-5201

Mailing address

4885 S Houghton Rd
A
Tucson, AZ 85730-5201

National Provider Directory

National Provider Directory
Tax ID family
ABA LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1405036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405036800000",
    "number": "1740696673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4885 S HOUGHTON RD",
            "address_2": "A",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857305201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4885 S HOUGHTON RD",
            "address_2": "A",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857305201",
            "telephone_number": "520-820-3650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA BEHAVIOR & AUTISM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-11",
        "last_updated": "2014-07-11",
        "status": "A",
        "authorized_official_last_name": "MASTRANGELO",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "EXEC. DIRECTOR",
        "authorized_official_telephone_number": "520-820-3650",
        "authorized_official_credential": "M.ED., BCBA, LBA"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "AZ",
            "license": "83",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2014; 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.