Organization
AXIS FOR AUTISM LLC
Active
Parent organization
AXIS FOR AUTISM LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
AXIS FOR AUTISM LLC
Authorized official
ANDREA STEVENS (COO)
(602) 888-8882
Entity
Organization
Contact information
Practice address
1645 E MISSOURI AVE STE 320, PHOENIX, AZ 85016-3035
(602) 888-8882
(602) 883-7254
Mailing address
1645 E MISSOURI AVE STE 320, PHOENIX, AZ 85016-3035
(602) 888-8882
(602) 883-7254
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
03/29/2024
Last updated
03/29/2024
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