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Organization

PHOENIX AUTISM CENTER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BREANNE MAE HARTMAN (OWNER)
(480) 510-8323
Entity
Organization

Contact information

Practice address
4801 E MCDOWELL RD STE 175, PHOENIX, AZ 85008-7725
(480) 478-0444
(602) 854-7422
Mailing address
3303 N 44TH ST, PHOENIX, AZ 85018
(480) 478-0444
(602) 854-7422

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
225X00000X
Occupational Therapist
235Z00000X
Speech-Language Pathologist
252Y00000X
Early Intervention Provider Agency

Other

Enumeration date
12/02/2022
Last updated
02/03/2026
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