| G&a Behavior Group LLC | |
|
8192 College Pkwy Ste A3 Fort Myers FL 33919-5196 | |
| (786) 296-5106 | |
| Not Available |
| Full Name | G&a Behavior Group LLC |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 8192 College Pkwy Ste A3, Fort Myers, Florida |
| Authorized Official Name and Position | Ailime Taylor (BCBA) |
| Authorized Official Contact | 3052006636 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| G&a Behavior Group LLC 8192 College Pkwy Ste A3 Fort Myers FL 33919-5196 Ph: (786) 296-5106 | G&a Behavior Group LLC 8192 College Pkwy Ste A3 Fort Myers FL 33919-5196 Ph: (786) 296-5106 |
| NPI Number | 1104550128 |
|---|---|
| Provider Enumeration Date | 07/14/2022 |
| Last Update Date | 07/14/2022 |
| Certification Date | 07/14/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104550128 | NPI | - | NPPES |
| 0000000000 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (NU) | Primary |
| 103K00000X | Behavior Analyst | (NU) | Secondary |
| 106E00000X | Assistant Behavior Analyst | (NU) | Secondary |
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