Healthcare Provider Details

I. General information

NPI: 1457279903
Provider Name (Legal Business Name): ABA PREMIUM FAMILY SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/09/2026
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2221 LEE RD
WINTER PARK FL
32789-1864
US

IV. Provider business mailing address

2221 LEE RD
WINTER PARK FL
32789-1864
US

V. Phone/Fax

Practice location:
  • Phone: 786-608-1857
  • Fax:
Mailing address:
  • Phone: 786-608-1857
  • 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: JORGE F SANCHEZ DIAZ
Title or Position: OWNER/PRESIDENT
Credential: BCBA,LCSW
Phone: 786-608-1857