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Organization
G&A BEHAVIOR GROUP LLC
Active
Organization
G&A BEHAVIOR GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AILIME TAYLOR (BCBA)
(305) 200-6636
Entity
Organization
Contact information
Practice address
8192 COLLEGE PKWY STE A3, FORT MYERS, FL 33919-5196
(786) 296-5106
Mailing address
8192 COLLEGE PKWY STE A3, FORT MYERS, FL 33919-5196
(786) 296-5106
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
NULL
103K00000X
Behavior Analyst
—
—
106E00000X
Assistant Behavior Analyst
—
NULL
106E00000X
Assistant Behavior Analyst
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
07/14/2022
Last updated
07/14/2022
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