MEDICARE: ABA BEHAVIOR SOLUTIONS INC

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	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1639006414
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ABA BEHAVIOR SOLUTIONS INC

Provider Business Mailing Address
First Line	:	1500 COLONIAL BLVD STE 100
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33907-1025
Country	:	US
Telephone Number	:	786-420-8999
Fax Number	:	786-420-8999

Provider Business Practice Location Address
First Line	:	1500 COLONIAL BLVD STE 100
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33907-1025
Country	:	US
Telephone Number	:	786-420-8999
Fax Number	:	786-420-8999

Authorized Official
Title or Position	:	MANAGER
Name	:	ESTELA RODRIGUEZ CASTRO
Credential	:
Telephone Number	:	786-420-8999

Provider Enumeration Date	:	05/06/2026
Last Update Date	:	05/06/2026

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