Provider Demographics
NPI:1487039558
Name:ARGOTT, PAUL (PHD, BCBA-D)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:
Last Name:ARGOTT
Suffix:
Gender:M
Credentials:PHD, BCBA-D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:361 STONEHURST PKWY
Mailing Address - Street 2:
Mailing Address - City:ST AUGUSTINE
Mailing Address - State:FL
Mailing Address - Zip Code:32092-5017
Mailing Address - Country:US
Mailing Address - Phone:201-213-0651
Mailing Address - Fax:
Practice Address - Street 1:361 STONEHURST PKWY
Practice Address - Street 2:
Practice Address - City:ST AUGUSTINE
Practice Address - State:FL
Practice Address - Zip Code:32092-5017
Practice Address - Country:US
Practice Address - Phone:201-213-0651
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-29
Last Update Date:2015-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst