OrganizationActive
Axis for Autism LLC
NPI 1619553963 · Psychologist · Phoenix, AZ
Provider details
- NPI number
- 1619553963
- Entity type
- Organization
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Andrea Stevens, Coo(602) 413-5397
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Behavior Analyst103K00000X
Behavioral Health & Social Service Providers
Practice location
1645 E Missouri Ave Ste 320
Phoenix, AZ 85016-3035
Phone: (602) 888-8882
Approximate (ZIP-level) locationGet directions
Mailing address
5844 E Lafayette Blvd
Phoenix, AZ 85018-4659
Registry dates
- Enumerated
- 2021-03-18
- Last updated
- 2023-06-05
- Certified
- 2023-06-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.