Healthcare Provider Details

I. General information

NPI: 1639093198
Provider Name (Legal Business Name): EMPATHY ABA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/07/2026
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

557 NW FAIRFAX AVE
PORT SAINT LUCIE FL
34983-1017
US

IV. Provider business mailing address

557 NW FAIRFAX AVE
PORT SAINT LUCIE FL
34983-1017
US

V. Phone/Fax

Practice location:
  • Phone: 786-355-1870
  • Fax:
Mailing address:
  • Phone: 786-355-1870
  • 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: MR. GILBERTO DIAZ PONCE
Title or Position: FOUNDER & OWNER
Credential: M.A., BCBA
Phone: 786-355-1870