MEDICARE: LINKEDABA 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	:	1972463909
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LINKEDABA LLC

Provider Business Mailing Address
First Line	:	2129 KATHERINE ST
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33901-6122
Country	:	US
Telephone Number	:	239-410-2090
Fax Number	:

Provider Business Practice Location Address
First Line	:	2129 KATHERINE ST
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33901-6122
Country	:	US
Telephone Number	:	239-410-2090
Fax Number	:	239-410-2090

Authorized Official
Title or Position	:	OWNER
Name	:	MARC ETIENNE
Credential	:
Telephone Number	:	239-410-2090

Provider Enumeration Date	:	11/13/2025
Last Update Date	:	11/14/2025

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Directions to “LINKEDABA LLC ” Practice Location

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