# INSPIRE CENTER FOR AUTISM

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578289195
- **Authorized official:** MR. ZACHARY RUDOLPH (OWNER)
- **Authorized official phone:** (480) 269-7709

## Contact information

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

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103K00000X | Behavior Analyst | — | NULL | Yes |
| 103K00000X | Behavior Analyst | — | — | Yes |
| 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