Healthcare Provider Details

I. General information

NPI: 1255249959
Provider Name (Legal Business Name): EMPOWERED JOURNEYS ABA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5348 SW 71ST AVE
OCALA FL
34474-9865
US

IV. Provider business mailing address

11501 SW 44TH ST APT 206
MIRAMAR FL
33025-8050
US

V. Phone/Fax

Practice location:
  • Phone: 754-302-2764
  • Fax:
Mailing address:
  • Phone: 754-302-2764
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: VANESSA FERNANDEZ
Title or Position: OWNER/CEO
Credential: MA, BCBA, LBA
Phone: 786-461-8131