Prestige ABA Services LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

PRESTIGE ABA SERVICES LLC

Practice address

4350 Fowler St Ste 3
Fort Myers, FL 33901-2616

Phone

(786) 317-0100

Fax

(813) 776-1620

NPI assigned

Feb 8, 2021

Organization subpart

No

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

Authorized official

Name

Mairelys Concepcion, RBTNPI 1245732387

Title

Owner

Phone

(786) 317-0100

Specialties & licenses 2

Addresses

Other names 1

• Prestige ABA Services LLC Former legal business name

Tax ID family

Prestige ABA Services LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Prestige ABA Services LLC

  • Clinic/Center
  • Fort Myers, FL
  • NPI 1225922560
  NPD tax ID
• Prestige ABA Services LLC

  • Home Health Agency
  • Lehigh Acres, FL
  • NPI 1609643238
  NPD tax ID
• Prestige ABA Services LLC

  • Community/Behavioral Health Agency
  • Hialeah, FL
  • NPI 1912578261
  NPD tax ID

Practitioners 1

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

• Mairelys Concepcion, RBT

  • Behavior Technician
  • Lehigh Acres, FL
  • NPI 1245732387
  NPD Authorized official

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

{
    "created_epoch": "1612742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739318400000",
    "number": "1124610464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4350 FOWLER ST STE 3",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339012616",
            "telephone_number": "786-317-0100",
            "fax_number": "813-776-1620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4350 FOWLER ST STE 3",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339012616",
            "telephone_number": "786-317-0100",
            "fax_number": "813-776-1620"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "714 McArthur Ave",
            "address_purpose": "LOCATION",
            "city": "Lehigh Acres",
            "state": "FL",
            "postal_code": "339361214",
            "country_code": "US",
            "telephone_number": "786-317-0100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "621 Willard Ave",
            "address_purpose": "LOCATION",
            "city": "Lehigh Acres",
            "state": "FL",
            "postal_code": "339727930",
            "country_code": "US",
            "telephone_number": "786-317-0100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PRESTIGE ABA SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-08",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A",
        "authorized_official_last_name": "CONCEPCION",
        "authorized_official_first_name": "MAIRELYS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-317-0100",
        "authorized_official_credential": "RBT"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prestige ABA Services LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Prestige ABA Services LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Thomas G Presbrey, MD
• Sean Prescod, MA
• Julinda Presendieu
• Present Mind LLC
• Meredith Ashley Press, APRN
• Prestige ABA Services LLC
• Prevent RX 2, LLC
• Andrea Marsala Price, M.S. CCC-SLP
• Bradley W. Price, D.C.
• Errin E. Price, PSY.D.

• Behavior Analyst in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; 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.