Healthcare Provider Details

I. General information

NPI: 1639006414
Provider Name (Legal Business Name): ABA BEHAVIOR SOLUTIONS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

1500 COLONIAL BLVD STE 100
FORT MYERS FL
33907-1025
US

IV. Provider business mailing address

1500 COLONIAL BLVD STE 100
FORT MYERS FL
33907-1025
US

V. Phone/Fax

Practice location:
  • Phone: 786-420-8999
  • Fax: 786-420-8999
Mailing address:
  • Phone: 786-420-8999
  • Fax: 786-420-8999

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: ESTELA RODRIGUEZ CASTRO
Title or Position: MANAGER
Credential:
Phone: 786-420-8999