| Agape Behavioral Specialist | |
|
1514 Cloverdale Dr Savannah GA 31415-7813 | |
| (404) 692-3582 | |
| Not Available |
| Full Name | Agape Behavioral Specialist |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1514 Cloverdale Dr, Savannah, Georgia |
| Authorized Official Name and Position | Octavia Frazier (OWNER) |
| Authorized Official Contact | 4046923582 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Agape Behavioral Specialist 1514 Cloverdale Dr Savannah GA 31415-7813 Ph: (404) 692-3582 | Agape Behavioral Specialist 1514 Cloverdale Dr Savannah GA 31415-7813 Ph: (404) 692-3582 |
| NPI Number | 1063298644 |
|---|---|
| Provider Enumeration Date | 09/07/2023 |
| Last Update Date | 09/09/2023 |
| Certification Date | 09/09/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063298644 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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