Organization
NORTH VALLEY PEDIATRIC THERAPY, LLC
Active
Organization
NORTH VALLEY PEDIATRIC THERAPY, LLC
Active
Other names
Odyssey Autism ABA Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
JAXSON MYERS (CEO)
(602) 609-3777
Entity
Organization
Contact information
Practice address
1831 W ROSE GARDEN LN STE 4, PHOENIX, AZ 85027-2725
(602) 808-9912
(602) 875-0385
Mailing address
1831 W ROSE GARDEN LN STE 4, PHOENIX, AZ 85027-2725
(602) 808-9912
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
103T00000X
Psychologist
—
—
2080P0006X
Developmental - Behavioral Pediatrics Physician
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
05/22/2016
Last updated
06/05/2026
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