Provider Demographics
NPI:1942967955
Name:BARGAS, AVA I (BHT)
Entity Type:Individual
Prefix:MISS
First Name:AVA
Middle Name:I
Last Name:BARGAS
Suffix:
Gender:F
Credentials:BHT
Other - Prefix:MISS
Other - First Name:AVA
Other - Middle Name:I
Other - Last Name:BARGAS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:BHT
Mailing Address - Street 1:1500 S DOUGLAS RD STE 230
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-4108
Mailing Address - Country:US
Mailing Address - Phone:844-854-1116
Mailing Address - Fax:305-846-9711
Practice Address - Street 1:42 44TH ST SW
Practice Address - Street 2:
Practice Address - City:GRANDVILLE
Practice Address - State:MI
Practice Address - Zip Code:49418-2177
Practice Address - Country:US
Practice Address - Phone:844-244-1818
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-24
Last Update Date:2021-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician