MG Behavior Gainesville LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

MG BEHAVIOR GAINESVILLE LLC

Practice address

1624 NW 43Rd Ave
Gainesville, FL 32605-1947

Phone

(352) 339-0051

NPI assigned

Jun 11, 2024

Organization subpart

No

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

Authorized official

Name

Solansh Schrack

Title

Owner

Phone

(352) 339-0051

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1718064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719878400000",
    "number": "1093557886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1624 NW 43RD AVE",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326051947",
            "telephone_number": "352-339-0051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1624 NW 43RD AVE",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326051947",
            "telephone_number": "352-339-0051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MG BEHAVIOR GAINESVILLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-11",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A",
        "authorized_official_last_name": "SCHRACK",
        "authorized_official_first_name": "SOLANSH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-339-0051"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; 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.