Healthcare Provider Details

I. General information

NPI: 1073448304
Provider Name (Legal Business Name): ABA BY FUNCTION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2026
Last Update Date: 06/17/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5745 SW 75TH ST # 187
GAINESVILLE FL
32608-5504
US

IV. Provider business mailing address

5745 SW 75TH ST # 187
GAINESVILLE FL
32608-5504
US

V. Phone/Fax

Practice location:
  • Phone: 352-494-0075
  • Fax:
Mailing address:
  • Phone: 352-494-0075
  • 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: MINERVA MARTINEZ CRUZ
Title or Position: OWNER
Credential: P.H.D. BCBA-LABA
Phone: 352-494-0075