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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

WELLHARBOR AZ LLC
NPI 1104724905
Behavior Analyst in Phoenix, AZ

Active since October 30, 2026
10171 N 19TH AVE STE 10, PHOENIX, AZ 85021(732) 860-8460 Get Directions Write a Review

NPPES record added: October 30, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Wellharbor Az Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WELLHARBOR AZ LLC (NPI 1104724905) is a healthcare organization registered as a behavior analyst in Phoenix, Arizona and active in the NPI registry since October 2026. The organization lists Marc Shepard, Director, as its authorized official.

NPPES Registry Identity

NPI1104724905
Entity TypeOrganization
Primary Taxonomy103K00000X
Legal Business NameWELLHARBOR AZ LLC
Location Address10171 N 19TH AVE STE 10Phoenix, AZ 85021-1940
Mailing Address10171 N 19th Ave Ste 10Phoenix, AZ 85021-1940 · (732) 860-8460
Phone(732) 860-8460
Organization SubpartNo
Authorized OfficialMarc ShepardDirector · (732) 860-8460
Enumeration DateOctober 30, 2026
NPPES CertifiedOctober 30, 2026
✔ NPI 1104724905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
Definition
A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.
10171 N 19TH AVE STE 10, Phoenix, AZ 85021
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MYISA CARDRIA SEYMORE PBT (ASCP)
Technician, Pathology (Phlebotomy)
10171 N 19TH AVE STE 10
PHOENIX, AZ 85021
Maricopa County (623) 463-7145
STARLIGHT ABA AZ LLC
Behavior Analyst
10171 N 19TH AVE STE 10
PHOENIX, AZ 85021
Maricopa County (877) 888-8740
WELLHARBOR AZ LLC
Community/Behavioral Health
10171 N 19TH AVE STE 10
PHOENIX, AZ 85021
Maricopa County (732) 860-8460

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wellharbor Az LLC's NPI number?

The NPI number for Wellharbor Az LLC is 1104724905. It was assigned to this organization in the NPPES registry on October 30, 2026.

Where is Wellharbor Az LLC located?

Wellharbor Az LLC is located at 10171 N 19th Ave Ste 10, Phoenix, AZ 85021. The listed phone number is (732) 860-8460.

What is Wellharbor Az LLC's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

When was this NPI record last updated?

The NPPES record for Wellharbor Az LLC was last updated on October 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.