Agile Behavior Consultation, LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

AGILE BEHAVIOR CONSULTATION, LLC

Practice address

5563 Redleaf Rose Dr
Myrtle Beach, SC 29579-4478

Phone

(631) 388-1919

NPI assigned

Apr 23, 2024

Organization subpart

No

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

Authorized official

Name

Rachel Delgado, BCBANPI 1235403486

Title

Clinical Director/Owner

Phone

(631) 388-1919

Specialties & licenses 1

Addresses

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rachel Delgado, MSED, BCBA, LBA

  • Behavior Analyst
  • Myrtle Beach, SC
  • NPI 1235403486
  NPD Authorized official

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

{
    "created_epoch": "1713830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713830400000",
    "number": "1720833775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5563 REDLEAF ROSE DR",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295794478",
            "telephone_number": "631-388-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5563 REDLEAF ROSE DR",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295794478",
            "telephone_number": "631-388-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGILE BEHAVIOR CONSULTATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-23",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A",
        "authorized_official_last_name": "DELGADO",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR/OWNER",
        "authorized_official_telephone_number": "631-388-1919",
        "authorized_official_credential": "BCBA"
    },
    "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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• All providers in Myrtle Beach, SC
• Behavior Analyst in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.