G&A Behavior Group LLC
Clinic/Center, Multi-Specialty in Fort Myers, FL. Organization (NPI-2).
NPI number1104550128
StatusActive
Last updated in NPPESJul 14, 2022
Details
- NPI
- 1104550128
- Entity type
- Organization (NPI-2)
- Legal business name
- G&A Behavior Group LLC
- Organization subpart
- No
- Enumeration date
- Jul 14, 2022
- Certification date
- Jul 14, 2022
- Last updated
- Jul 14, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM1300X | Clinic/Center, Multi-Specialty | – | – | Yes |
| 103K00000X | Behavior Analyst | – | – | |
| 106E00000X | Assistant Behavior Analyst | – | – |
Practice location
8192 College Pkwy Ste A3Fort Myers, FL 33919-5196
Phone 786-296-5106
Mailing address
8192 College Pkwy Ste A3Fort Myers, FL 33919-5196
Phone 786-296-5106
Authorized official
Ailime Taylor
Bcba
3052006636
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