Agile Behavior Consultation, LLC
Behavior Analyst in Myrtle Beach, SC. Organization (NPI-2).
NPI number1720833775
StatusActive
Last updated in NPPESApr 23, 2024
Details
- NPI
- 1720833775
- Entity type
- Organization (NPI-2)
- Legal business name
- Agile Behavior Consultation, LLC
- Organization subpart
- No
- Enumeration date
- Apr 23, 2024
- Certification date
- Apr 23, 2024
- Last updated
- Apr 23, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | – | – | Yes |
Practice location
5563 Redleaf Rose DrMyrtle Beach, SC 29579-4478
Phone 631-388-1919
Mailing address
5563 Redleaf Rose DrMyrtle Beach, SC 29579-4478
Phone 631-388-1919
Authorized official
Rachel Delgado
Clinical Director/Owner
6313881919
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