Active NPI
Molly Maxwell
- Behavior Analyst
- Avondale, AZ
National Provider Identifier
1942731690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-18-31844
- Practice address
- 12409 W Indian School Rd Ste B210
Avondale, AZ 85392-9505 - Phone
- (855) 223-7123
- NPI assigned
- Mar 24, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | BEH-000418 | AZ | |
| Behavior Analyst | 103K00000X | 1-18-31844 | Primary |
Addresses
Primary practice location
12409 W Indian School Rd Ste B210
Avondale, AZ 85392-9505
Mailing address
PO Box 33568
San Diego, CA 92163-3568
Phone (855) 223-7123
Other practice location 1
1855 2nd St Ste B
Concord, CA 94519-2623
Phone (855) 223-7123
Other practice location 2
10320 W McDowell Rd Ste K1136
Avondale, AZ 85392
Phone (855) 223-7123
Other practice location 3
16782 Von Karman Ave Ste 11
Irvine, CA 92606-2417
Phone (855) 223-7123
Other practice location 4
1600 W Chandler Blvd Ste 180
Chandler, AZ 85224-6164
Phone (855) 223-7123
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BEH-000418 | AZ | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490313600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747094400000",
"number": "1942731690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 33568",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921633568",
"telephone_number": "855-223-7123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12409 W INDIAN SCHOOL RD STE B210",
"city": "AVONDALE",
"state": "AZ",
"postal_code": "853929505",
"telephone_number": "855-223-7123"
}
],
"practiceLocations": [
{
"address_1": "1855 2nd St Ste B",
"address_purpose": "LOCATION",
"city": "Concord",
"state": "CA",
"postal_code": "945192623",
"country_code": "US",
"telephone_number": "855-223-7123",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10320 W McDowell Rd Ste K1136",
"address_purpose": "LOCATION",
"city": "Avondale",
"state": "AZ",
"postal_code": "85392",
"country_code": "US",
"telephone_number": "855-223-7123",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "16782 Von Karman Ave Ste 11",
"address_purpose": "LOCATION",
"city": "Irvine",
"state": "CA",
"postal_code": "926062417",
"country_code": "US",
"telephone_number": "855-223-7123",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1600 W Chandler Blvd Ste 180",
"address_purpose": "LOCATION",
"city": "Chandler",
"state": "AZ",
"postal_code": "852246164",
"country_code": "US",
"telephone_number": "855-223-7123",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAXWELL",
"first_name": "MOLLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-24",
"last_updated": "2025-05-13",
"certification_date": "2025-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "AZ",
"license": "BEH-000418",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": "1-18-31844",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Avondale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.