MEDICARE: CHOSEN 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	:	1255283073
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHOSEN ABA LLC

Provider Business Mailing Address
First Line	:	631 TORTUGAS ST
Second Line	:
City	:	HAINES CITY
State	:	FL
Zip	:	33844-8458
Country	:	US
Telephone Number	:	954-729-9967
Fax Number	:	954-729-9967

Provider Business Practice Location Address
First Line	:	631 TORTUGAS ST
Second Line	:
City	:	HAINES CITY
State	:	FL
Zip	:	33844-8458
Country	:	US
Telephone Number	:	954-729-9967
Fax Number	:	954-729-9967

Authorized Official
Title or Position	:	BCBA
Name	:	MS. YARELIS PENA ALGARIN
Credential	:	MS
Telephone Number	:	954-729-9967

Provider Enumeration Date	:	02/12/2026
Last Update Date	:	02/12/2026

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Directions to “CHOSEN ABA LLC ” Practice Location

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