Organization
AXIS FOR AUTISM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA STEVENS (COO)
(602) 413-5397
Entity
Organization
Contact information
Practice address
1645 E MISSOURI AVE STE 320, PHOENIX, AZ 85016-3035
(602) 888-8882
Mailing address
5844 E LAFAYETTE BLVD, PHOENIX, AZ 85018-4659
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
03/18/2021
Last updated
06/05/2023
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