MEDICARE: O&K MINDFULNESS BEHAVIOR THERAPY LLC

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	:	1245827039
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	O&K MINDFULNESS BEHAVIOR THERAPY LLC

Provider Business Mailing Address
First Line	:	134 SW 11TH TER
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33991-2553
Country	:	US
Telephone Number	:	786-488-1830
Fax Number	:

Provider Business Practice Location Address
First Line	:	134 SW 11TH TER
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33991-2553
Country	:	US
Telephone Number	:	786-488-1830
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	OMAR MESA
Credential	:	BCBA
Telephone Number	:	786-488-1830

Provider Enumeration Date	:	12/28/2020
Last Update Date	:	12/28/2020

Similar Medicare Providers

1265170559 — AMERICAN FAMILY CARE GROUP
Practice Location Address:

110 NE 2ND PL STE 106
CAPE CORAL, FL
33909-2553

Practice Phone: 239-244-2917
Practice Fax: 239-236-1991

1578044145 — SAILYS NUNEZ DIAZ ARNP
Practice Location Address:

110 NE 2ND PL STE 106
CAPE CORAL, FL
33909-2553

Practice Phone: 239-244-2917
Practice Fax: 239-236-1991

1417528415 — LILLIAM PEREZ RODRIGUEZ APRN
Practice Location Address:

110 NE 2ND PL STE 106
CAPE CORAL, FL
33909-2553

Practice Phone: 239-244-2917
Practice Fax: 239-236-1991

1467041327 — AZUCENA R COLEMAN RN
Practice Location Address:

4933 CAPE MAY AVE APT 1
SAN DIEGO, CA
92107-2553

Practice Phone: 619-309-7578
Practice Fax:

1548110224 — SELF-LED THERAPY LLC
Practice Location Address:

903 SW 9TH CT
CAPE CORAL, FL
33991-2493

Practice Phone: 505-228-4959
Practice Fax:

1144171091 — JESSICA PACHECO FERRERA
Practice Location Address:

315 SW PINE ISLAND RD
CAPE CORAL, FL
33991-2163

Practice Phone: 239-445-6599
Practice Fax:

Directions to “O&K MINDFULNESS BEHAVIOR THERAPY LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.