Agape Behavioral Specialist

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

AGAPE BEHAVIORAL SPECIALIST

Doing business as

Agape Behavioral Specialist

Practice address

1514 Cloverdale Dr
Savannah, GA 31415-7813

Phone

(404) 692-3582

NPI assigned

Sep 7, 2023

Last updated

Sep 9, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Octavia Frazier

Title

Owner

Phone

(404) 692-3582

Specialties & licenses 1

Addresses

Other names 1

• Agape Behavioral Specialist Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1694044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694217600000",
    "number": "1063298644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 CLOVERDALE DR",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314157813",
            "telephone_number": "404-692-3582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1514 CLOVERDALE DR",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314157813",
            "telephone_number": "404-692-3582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAPE BEHAVIORAL SPECIALIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-07",
        "last_updated": "2023-09-09",
        "certification_date": "2023-09-09",
        "status": "A",
        "authorized_official_last_name": "FRAZIER",
        "authorized_official_first_name": "OCTAVIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-692-3582",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Agape Behavioral Specialist",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Agape Behavioral Specialist",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Jensen Aguinaldo, LMT
• Itunu Jumoke Agunbiade, RN
• Victoria M Agyekum, RN
• Dora A. Agyemang, MSN, ANP-BC

• Behavior Analyst in Savannah, GA
• Providers in Savannah, GA by specialty
• Behavior Analyst in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.