# ACG THERAPY CENTER, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588651921
- **Authorized official:** PHILLIP WEIL (OWNER)
- **Authorized official phone:** (352) 372-0047

## Contact information

- **Practice address:** 4907 NW 43RD STREET, SUITE C, GAINESVILLE, FL 32606-2007
- **Practice address phone:** (352) 372-0047
- **Practice address fax:** (352) 372-4701
- **Mailing address:** 4907 NW 43RD STREET, SUITE C, GAINESVILLE, FL 32606-2007
- **Mailing address phone:** (352) 372-0047
- **Mailing address fax:** (352) 372-4701

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103K00000X | Behavior Analyst | — | NULL | Yes |
| 103K00000X | Behavior Analyst | — | — | Yes |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |

## Other

- **Enumeration date:** 09/30/2005
- **Last updated:** 01/31/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 022992900 | — | FL |
| 05 | — | 884949800 | — | FL |