Provider Demographics
NPI:1891365458
Name:THRIVE AUTISM SERVICES, PLLC
Entity type:Organization
Organization Name:THRIVE AUTISM SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:PETER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-269-0786
Mailing Address - Street 1:2122 E HIGHLAND AVE STE 420
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85016-4739
Mailing Address - Country:US
Mailing Address - Phone:425-503-1679
Mailing Address - Fax:480-933-0048
Practice Address - Street 1:3592 S ATHERTON BLVD STE 101
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85297-7444
Practice Address - Country:US
Practice Address - Phone:480-269-0786
Practice Address - Fax:480-933-0048
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-27
Last Update Date:2025-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty