Healthcare Provider Details

I. General information

NPI: 1467264283
Provider Name (Legal Business Name): ABA THERAPY SERVICES OF FLORIDA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/21/2025
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

306 NW 3RD PL
CAPE CORAL FL
33993-2459
US

IV. Provider business mailing address

306 NW 3RD PL
CAPE CORAL FL
33993-2459
US

V. Phone/Fax

Practice location:
  • Phone: 239-933-1300
  • Fax: 239-999-9329
Mailing address:
  • Phone: 239-933-1300
  • Fax: 239-999-9329

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: YILIAN ECHEVARRIA JIMENEZ
Title or Position: AUTHORIZED OFFICIAL
Credential:
Phone: 239-933-1300