Provider Demographics
NPI:1760621379
Name:ARIZONA AUTISM UNITED, INC.
Entity Type:Organization
Organization Name:ARIZONA AUTISM UNITED, INC.
Other - Org Name:AZA UNITED
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:AARON
Authorized Official - Middle Name:
Authorized Official - Last Name:BLOCHER-RUBIN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LBA, BCBA
Authorized Official - Phone:602-773-5774
Mailing Address - Street 1:5025 E WASHINGTON ST
Mailing Address - Street 2:SUITE 212
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85034-2005
Mailing Address - Country:US
Mailing Address - Phone:602-773-5773
Mailing Address - Fax:602-273-9108
Practice Address - Street 1:5025 E WASHINGTON ST
Practice Address - Street 2:SUITE 212
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85034-2005
Practice Address - Country:US
Practice Address - Phone:602-773-5773
Practice Address - Fax:602-273-9108
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-05
Last Update Date:2020-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty
No2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language AssistantGroup - Single Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Single Specialty
No252Y00000XAgenciesEarly Intervention Provider Agency
No253Z00000XAgenciesIn Home Supportive CareGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ963969Medicaid
AZ886516Medicaid