MEDICARE: SOLUCION TEMPRANA TERAPIAS 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	:	1669339735
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOLUCION TEMPRANA TERAPIAS ABA LLC

Provider Business Mailing Address
First Line	:	8917 BEACON LAKES DR APT 106
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33615-3499
Country	:	US
Telephone Number	:	239-258-7054
Fax Number	:

Provider Business Practice Location Address
First Line	:	8917 BEACON LAKES DR APT 106
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33615-3499
Country	:	US
Telephone Number	:	239-258-7054
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JERONIMO LEAL ACOSTA
Credential	:
Telephone Number	:	239-258-7054

Provider Enumeration Date	:	01/08/2026
Last Update Date	:	01/08/2026

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