Provider Demographics
NPI:1184432189
Name:A&S BEHAVIORAL CARE INC
Entity type:Organization
Organization Name:A&S BEHAVIORAL CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/BCBA
Authorized Official - Prefix:
Authorized Official - First Name:SERGUEY
Authorized Official - Middle Name:E
Authorized Official - Last Name:SEGURA TRISTA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-457-9860
Mailing Address - Street 1:5258 GOLDEN GATE PKWY STE 110
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34116-7617
Mailing Address - Country:US
Mailing Address - Phone:786-457-9860
Mailing Address - Fax:
Practice Address - Street 1:5258 GOLDEN GATE PKWY STE 110
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34116-7617
Practice Address - Country:US
Practice Address - Phone:786-457-9860
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-21
Last Update Date:2024-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty