Healthcare Provider Details

I. General information

NPI: 1821494584
Provider Name (Legal Business Name): AGAPI BEHAVIORAL CONSULTANTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/07/2014
Last Update Date: 11/03/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 MCKENNA COMMONS CT
GREENVILLE SC
29615-2633
US

IV. Provider business mailing address

7 MCKENNA COMMONS CT
GREENVILLE SC
29615-2633
US

V. Phone/Fax

Practice location:
  • Phone: 864-509-1555
  • Fax:
Mailing address:
  • Phone: 864-509-1555
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: NINA BOURRET
Title or Position: CO-OWNER
Credential:
Phone: 815-409-6990