Provider Demographics
NPI:1588972327
Name:AGS BUSINESS CORP
Entity type:Organization
Organization Name:AGS BUSINESS CORP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT / DIRECTOR OF OPERATIONS
Authorized Official - Prefix:DR
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:CAMMARATA
Authorized Official - Suffix:
Authorized Official - Credentials:JD
Authorized Official - Phone:954-941-2323
Mailing Address - Street 1:900 E ATLANTIC BLVD
Mailing Address - Street 2:#12
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33060-7371
Mailing Address - Country:US
Mailing Address - Phone:954-941-2323
Mailing Address - Fax:
Practice Address - Street 1:900 E ATLANTIC BLVD
Practice Address - Street 2:#12
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33060-7371
Practice Address - Country:US
Practice Address - Phone:954-941-2323
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-14
Last Update Date:2010-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty