Provider Demographics
NPI:1740013580
Name:A & G NEW BEHAVIOR ANALYSIS ,INC
Entity type:Organization
Organization Name:A & G NEW BEHAVIOR ANALYSIS ,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ADIANET
Authorized Official - Middle Name:
Authorized Official - Last Name:PEREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-450-4219
Mailing Address - Street 1:3080 TAMIAMI TRL E UNIT 301
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34112-5777
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:305-230-3137
Practice Address - Street 1:3080 TAMIAMI TRL E UNIT 301
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34112-5777
Practice Address - Country:US
Practice Address - Phone:305-450-4219
Practice Address - Fax:305-230-3137
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-26
Last Update Date:2024-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty