NPIMap

Organization Active NPI

Desoto ABA Services Corp

  • Behavior Analyst
  • Punta Gorda, FL
National Provider Identifier
1053174334
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
DESOTO ABA SERVICES CORP
Practice address
223 Taylor St Ste 127
Punta Gorda, FL 33950-4453
Phone
(239) 286-8242
NPI assigned
Jan 31, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Yanexis Portilla, BCBANPI 1669997169
Title
Owner
Phone
(239) 286-8242

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

223 Taylor St Ste 127
Punta Gorda, FL 33950-4453

Mailing address

223 Taylor St Ste 127
Punta Gorda, FL 33950-4453
Phone (239) 286-8242

National Provider Directory

National Provider Directory

Locations

223 Taylor St
Ste 127
Punta Gorda, FL 33950
Phone (239) 286-8242

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1706659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706659200000",
    "number": "1053174334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 TAYLOR ST STE 127",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339504453",
            "telephone_number": "239-286-8242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 TAYLOR ST STE 127",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339504453",
            "telephone_number": "239-286-8242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESOTO ABA SERVICES CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-31",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A",
        "authorized_official_last_name": "PORTILLA",
        "authorized_official_first_name": "YANEXIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-286-8242",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Punta Gorda, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.