Organization
ABLE KIDS AZ LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON FARRELL SLP (CEO)
(480) 757-2253
Entity
Organization
Contact information
Practice address
43507 N IRONWOOD DR, SAN TAN VALLEY, AZ 85140-9312
(480) 757-2253
Mailing address
464-22424 S ELLSWORTH LOOP RD, QUEEN CREEK, AZ 85142
(480) 757-2253
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
103T00000X
Psychologist
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
—
2355S0801X
Speech-Language Assistant
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
06/25/2025
Last updated
06/25/2025
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