MEDICARE: SHINE WITHIN ABA LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1124905468
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHINE WITHIN ABA LLC

Provider Business Mailing Address
First Line	:	218 E MALDEN AVE S
Second Line	:
City	:	LEHIGH ACRES
State	:	FL
Zip	:	33974-4816
Country	:	US
Telephone Number	:	786-448-5990
Fax Number	:

Provider Business Practice Location Address
First Line	:	218 E MALDEN AVE S
Second Line	:
City	:	LEHIGH ACRES
State	:	FL
Zip	:	33974-4816
Country	:	US
Telephone Number	:	786-448-5990
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	GLENDA PRIETO
Credential	:
Telephone Number	:	786-448-5990

Provider Enumeration Date	:	08/19/2025
Last Update Date	:	08/19/2025

Similar Medicare Providers

1669199584 — GLENDA PRIETO
Practice Location Address:

218 E MALDEN AVE S
LEHIGH ACRES, FL
33974-4816

Practice Phone: 786-448-5990
Practice Fax:

1710854450 — JOICE AGUILERA VAZQUEZ
Practice Location Address:

1216 DUNNDALE ST
LEHIGH ACRES, FL
33936-4816

Practice Phone: 786-835-1523
Practice Fax:

1790544781 — LIANIS PENA ZAMORA
Practice Location Address:

1216 DUNNDALE ST
LEHIGH ACRES, FL
33936-4816

Practice Phone: 239-544-6572
Practice Fax:

1235098344 — JENNY PEREZ
Practice Location Address:

847 WOLVERINE ST E
LEHIGH ACRES, FL
33974-0717

Practice Phone: 239-321-9166
Practice Fax:

1376291856 — ZULEMA COLLAZO
Practice Location Address:

755 MILANO AVE S
LEHIGH ACRES, FL
33974-9667

Practice Phone: 786-439-4358
Practice Fax:

1194467902 — MARYURILLENIS MACHADO RODRIGUEZ
Practice Location Address:

741 PHELPS ST E
LEHIGH ACRES, FL
33974-9752

Practice Phone: 786-693-3767
Practice Fax:

Directions to “SHINE WITHIN ABA LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.