NPI 1720833775 · live from the CMS NPI Registry
Agile Behavior Consultation, LLC
Behavior Analyst in Myrtle Beach, SC. National Provider Identifier 1720833775, active.
NPI record
| NPI | 1720833775 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 5563 Redleaf Rose Dr, Myrtle Beach, SC 29579 |
| Practice phone | 631-388-1919 |
| Enumerated | April 23, 2024 |
| Last updated | April 23, 2024 |
| Authorized official | Rachel Delgado, Clinical Director/Owner |
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.