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Organization

INSPIRE CENTER FOR AUTISM

Active
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Organization

INSPIRE CENTER FOR AUTISM

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ZACHARY RUDOLPH (OWNER)
(480) 269-7709
Entity
Organization

Contact information

Practice address
4904 S POWER RD STE 103-226, MESA, AZ 85212-3633
(818) 585-2238
Mailing address
4904 S POWER RD STE 103-226, MESA, AZ 85212-3633

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
NULL
103K00000X
Behavior Analyst
Primary
—
—
106E00000X
Assistant Behavior Analyst
—
NULL
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
NULL
106S00000X
Behavior Technician
—
—
251S00000X
Community/Behavioral Health Agency
—
NULL
261Q00000X
Clinic/Center
—
NULL

Other

Enumeration date
10/14/2022
Last updated
11/09/2022
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