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NPI Code Detail

MEDICARE: ABA APPLIED BEHAVIOR SOLUTIONS LLC

MEDICARE: ABA APPLIED BEHAVIOR SOLUTIONS 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
1103K00000XBehavior Analyst

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1871253138
Entity Type Code : Organization
Provider Name (Legal Business Name) : ABA APPLIED BEHAVIOR SOLUTIONS LLC
Provider Business Mailing Address
First Line : 1500 COLONIAL BLVD STE 102
Second Line :
City : FORT MYERS
State : FL
Zip : 33907-1025
Country : US
Telephone Number : 786-420-8999
Fax Number : 239-294-0903
Provider Business Practice Location Address
First Line : 1500 COLONIAL BLVD STE 102
Second Line :
City : FORT MYERS
State : FL
Zip : 33907-1025
Country : US
Telephone Number : 239-294-0901
Fax Number : 239-294-0903
Authorized Official
Title or Position : CEO
Name : ESTELA D RODRIGUEZ CASTRO
Credential : BCBA
Telephone Number : 786-420-8999
Provider Enumeration Date : 12/28/2021
Last Update Date : 06/23/2024

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Directions to “ABA APPLIED BEHAVIOR SOLUTIONS LLC ” Practice Location

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