Healthcare Provider Details

I. General information

NPI: 1982530184
Provider Name (Legal Business Name): EMET BEHAVIOR THERAPY CORP.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/23/2026
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13031 MCGREGOR BLVD STE 10
FORT MYERS FL
33919-5936
US

IV. Provider business mailing address

13031 MCGREGOR BLVD STE 10
FORT MYERS FL
33919-5936
US

V. Phone/Fax

Practice location:
  • Phone: 239-579-3378
  • Fax: 407-634-4537
Mailing address:
  • Phone: 239-579-3378
  • Fax: 407-634-4537

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MARIAN DEL CARMEN HERNANDEZ VILATO
Title or Position: PRESIDENT/BCBA
Credential: BCBA
Phone: 239-579-3378