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SOS PHOENIX LLC
NPI 1194435149
Behavior Analyst in Mesa, AZ

Active since November 30, 2022
1303 S LONGMORE STE 2, MESA, AZ 85202(801) 635-6208 Get Directions Write a Review

NPPES record last updated: November 30, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sos Phoenix Llc NPPES

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

SOS PHOENIX LLC (NPI 1194435149), doing business as Success On The Spectrum, is a healthcare organization registered as a behavior analyst in Mesa, Arizona and active in the NPI registry since November 2022. The organization lists Ted Holmgren, Owner, General Manager, as its authorized official.

NPPES Registry Identity

NPI1194435149
Entity TypeOrganization
Primary Taxonomy103K00000X
Legal Business NameSOS PHOENIX LLC
Location Address1303 S LONGMORE STE 2Mesa, AZ 85202-9607
Mailing Address5018 E Hannibal StMesa, AZ 85205-6879 · (801) 635-6208
Phone(801) 635-6208
Organization SubpartNo
Authorized OfficialTed HolmgrenOwner, General Manager · (801) 635-6208
Enumeration DateNovember 30, 2022
NPPES CertifiedNovember 30, 2022
✔ NPI 1194435149 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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.
Also ListedClinic/Center · Hearing and SpeechTaxonomy 261QH0700X
Also ListedClinic/Center · Occupational MedicineTaxonomy 261QX0100X
1303 S LONGMORE STE 2, Mesa, AZ 85202
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Other Names 1

Doing Business AsSuccess On The Spectrum

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Plan, Inc..Insurance ›

Other Providers at the Same Location NPPES 13

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

DAMARIS SMITH RBT
Behavior Technician
1303 S LONGMORE STE 2
MESA, AZ 85202
Maricopa County (480) 712-5181
ELLA QUINN
Behavior Technician
1303 S LONGMORE STE 2
MESA, AZ 85202
Maricopa County (480) 712-5181
CASEY BROWN BRADFORD MA, BCBA, LBA
Behavior Analyst
1303 S LONGMORE STE 2
MESA, AZ 85202
Maricopa County (480) 712-5181
KAYCEE R MCINTYRE
Behavior Technician
1303 S LONGMORE STE 2
MESA, AZ 85202
Maricopa County (480) 712-5181
KAITLYN CLAIRE GREGA RBT
Behavior Technician
1303 S LONGMORE STE 2
MESA, AZ 85202
Maricopa County (480) 712-5181
JALEAL DAVIS
Technician
1303 S LONGMORE STE 2
MESA, AZ 85202
Maricopa County (480) 712-5181
KAREN MADDEFORD
Behavior Technician
1303 S LONGMORE STE 2
MESA, AZ 85202
Maricopa County (480) 712-5181
KAELA MARIE MARLER
Behavior Technician
1303 S LONGMORE STE 2
MESA, AZ 85202
Maricopa County (480) 712-5181

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 Sos Phoenix LLC's NPI number?

The NPI number for Sos Phoenix LLC is 1194435149. It was assigned to this organization in the NPPES registry on November 30, 2022. The provider is doing business as Success on the Spectrum.

Where is Sos Phoenix LLC located?

Sos Phoenix LLC is located at 1303 S Longmore Ste 2, Mesa, AZ 85202. The listed phone number is (801) 635-6208.

What is Sos Phoenix LLC's specialty?

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

What insurance does Sos Phoenix LLC accept?

Health plans from Oscar Health Plan, Inc. list Sos Phoenix LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sos Phoenix LLC was last updated on November 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.