Healthcare Provider Details

I. General information

NPI: 1427980697
Provider Name (Legal Business Name): NOVA PATH ABA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 06/02/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3267 NE HIGHWAY 17 STE 8
ARCADIA FL
34266-5715
US

IV. Provider business mailing address

3919 8TH ST SW
LEHIGH ACRES FL
33976-2230
US

V. Phone/Fax

Practice location:
  • Phone: 239-699-6789
  • Fax:
Mailing address:
  • Phone: 239-699-6789
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: MR. ROGEL ROQUE RAMOS
Title or Position: MANAGING MENBER
Credential:
Phone: 239-699-6789