| Agapula Corp | |
|
2054 Vista Pkwy Ste 413 West Palm Beach FL 33411-6741 | |
| (305) 709-8974 | |
| Not Available |
| Full Name | Agapula Corp |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2054 Vista Pkwy Ste 413, West Palm Beach, Florida |
| Authorized Official Name and Position | Mariela Petraki (BCBA) |
| Authorized Official Contact | 3057098974 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Agapula Corp 10701 Sw Gloriana St Port Saint Lucie FL 34987-4706 Ph: (305) 709-8974 | Agapula Corp 2054 Vista Pkwy Ste 413 West Palm Beach FL 33411-6741 Ph: (305) 709-8974 |
| NPI Number | 1639918840 |
|---|---|
| Provider Enumeration Date | 05/20/2024 |
| Last Update Date | 05/20/2024 |
| Certification Date | 05/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639918840 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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