# NEUROSPARK ABA AZ LLC

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

## Provider details

- **NPI number:** 1659265718
- **Authorized official:** BATSHEVA HIRSCH (CEO)
- **Authorized official phone:** (732) 740-0439

## Contact information

- **Practice address:** 4539 N 22ND ST STE N, PHOENIX, AZ 85016-4639
- **Practice address phone:** (575) 210-7727
- **Mailing address:** 4539 N 22ND ST STE N, PHOENIX, AZ 85016-4639

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/04/2025
- **Last updated:** 06/04/2025