MEDICARE: A & G NEW BEHAVIOR ANALYSIS ,INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1740013580
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A & G NEW BEHAVIOR ANALYSIS ,INC

Provider Business Mailing Address
First Line	:	3080 TAMIAMI TRL E UNIT 301
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34112-5777
Country	:	US
Telephone Number	:
Fax Number	:	305-230-3137

Provider Business Practice Location Address
First Line	:	3080 TAMIAMI TRL E UNIT 301
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34112-5777
Country	:	US
Telephone Number	:	305-450-4219
Fax Number	:	305-230-3137

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ADIANET PEREZ
Credential	:
Telephone Number	:	305-450-4219

Provider Enumeration Date	:	08/26/2024
Last Update Date	:	08/26/2024

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Directions to “A & G NEW BEHAVIOR ANALYSIS ,INC ” Practice Location

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