NPI 1063298644 · live from the CMS NPI Registry
Agape Behavioral Specialist
Behavior Analyst in Savannah, GA. National Provider Identifier 1063298644, active.
NPI record
| NPI | 1063298644 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 1514 Cloverdale Dr, Savannah, GA 31415 |
| Practice phone | 404-692-3582 |
| Enumerated | September 7, 2023 |
| Last updated | September 9, 2023 |
| Authorized official | Octavia Frazier, Owner |
| Other names | Agape Behavioral Specialist |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.