Active NPI
Rogue ABA Arizona LLC
- Behavior Analyst
- Phoenix, AZ
National Provider Identifier
1821831942
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Legal business name
- ROGUE ABA ARIZONA LLC
- Practice address
- 2760 W Peoria Ave Ste 1061
Phoenix, AZ 85029-5202 - Phone
- (603) 692-8173
- NPI assigned
- Jun 17, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- CF True
- Title
- Ceo
- Phone
- (603) 692-8173
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary | ||
| Community/Behavioral Health Agency | 251S00000X |
Addresses
Primary practice location
2760 W Peoria Ave Ste 1061
Phoenix, AZ 85029-5202
Mailing address
2760 W Peoria Ave Ste 1061
Phoenix, AZ 85029-5202
Other names 1
- Rogue ABA
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718582400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1718582400000",
"number": "1821831942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2760 W PEORIA AVE STE 1061",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850295202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2760 W PEORIA AVE STE 1061",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850295202",
"telephone_number": "603-692-8173"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROGUE ABA ARIZONA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-06-17",
"last_updated": "2024-06-17",
"certification_date": "2024-06-17",
"status": "A",
"authorized_official_last_name": "TRUE",
"authorized_official_first_name": "CF",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "603-692-8173"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193400000X SINGLE 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": [
{
"organization_name": "Rogue ABA",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Jun 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.