Organization Active NPI

Phoenix Autism Center, LLC

  • Behavior Analyst
  • Phoenix, AZ
National Provider Identifier
1922718683
Registry record updated Feb 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
PHOENIX AUTISM CENTER, LLC
Practice address
4801 E McDowell Rd Ste 175
Phoenix, AZ 85008-7725
Phone
(480) 478-0444
Fax
(602) 854-7422
NPI assigned
Dec 2, 2022
Last updated
Feb 3, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2026

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

Authorized official

Name
Breanne Mae Hartman
Title
Owner
Phone
(480) 510-8323

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X NU
Speech-Language Pathologist 235Z00000X NU
Early Intervention Provider Agency 252Y00000X NU
Behavior Analyst 103K00000X NU Primary

Addresses

Primary practice location

4801 E McDowell Rd Ste 175
Phoenix, AZ 85008-7725

Mailing address

3303 N 44TH St
Phoenix, AZ 85018
Phone (480) 478-0444

Other practice location 1

140 N Litchfield Rd # 104
Goodyear, AZ 85338-1277
Phone (480) 478-0444

Other practice location 2

2820 E Broadway Rd
Mesa, AZ 85204-1703
Phone (480) 478-0444

Other practice location 3

3303 N 44th St
Phoenix, AZ 85018
Phone (480) 478-0444

Other practice location 4

4560 N 19th Ave
Phoenix, AZ 85015-4133
Phone (480) 478-0444

Other practice location 5

13934 N 59th Ave Ste 160
Glendale, AZ 85306-4168
Phone (489) 478-0444

National Provider Directory

National Provider Directory

Locations

13934 N 59th Ave
Ste 160
Glendale, AZ 85306
Phone (480) 478-0444

140 N Litchfield Rd
#104
Goodyear, AZ 85338
Phone (480) 478-0888

2820 E Broadway Rd
Mesa, AZ 85204
Phone (480) 478-0444

3303 N 44th St
Phoenix, AZ 85018
Phone (480) 478-0444

4801 E McDowell Rd
Ste 175
Phoenix, AZ 85008
Phone (480) 478-0444

Practitioners & affiliated clinicians

Practitioners 40

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.

View all 40

NPI Registry JSON

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

{
    "created_epoch": "1669939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770076800000",
    "number": "1922718683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3303 N 44TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85018",
            "telephone_number": "480-478-0444",
            "fax_number": "602-854-7422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 E MCDOWELL RD STE 175",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850087725",
            "telephone_number": "480-478-0444",
            "fax_number": "602-854-7422"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "140 N Litchfield Rd # 104",
            "address_purpose": "LOCATION",
            "city": "Goodyear",
            "state": "AZ",
            "postal_code": "853381277",
            "country_code": "US",
            "telephone_number": "480-478-0444",
            "fax_number": "602-854-7422",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2820 E Broadway Rd",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852041703",
            "country_code": "US",
            "telephone_number": "480-478-0444",
            "fax_number": "602-854-7422",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3303 N 44th St",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "85018",
            "country_code": "US",
            "telephone_number": "480-478-0444",
            "fax_number": "602-854-7422",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4560 N 19th Ave",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850154133",
            "country_code": "US",
            "telephone_number": "480-478-0444",
            "fax_number": "602-854-7422",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13934 N 59th Ave Ste 160",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853064168",
            "country_code": "US",
            "telephone_number": "489-478-0444",
            "fax_number": "602-854-7422",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PHOENIX AUTISM CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-02",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A",
        "authorized_official_last_name": "HARTMAN",
        "authorized_official_first_name": "BREANNE",
        "authorized_official_middle_name": "MAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-510-8323"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "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 Feb 3, 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.

Verify at the official NPI Registry.