Super Minds ABA Therapy LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

SUPER MINDS ABA THERAPY LLC

Practice address

6120 Winkler Rd Ste G
Fort Myers, FL 33919-8192

Phone

(239) 270-5863

NPI assigned

Oct 17, 2025

Last updated

Oct 17, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alexa Valdes

Title

Owner

Phone

(305) 733-3625

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1760659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760659200000",
    "number": "1245107085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6120 WINKLER RD STE G",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339198192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6120 WINKLER RD STE G",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339198192",
            "telephone_number": "239-270-5863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPER MINDS ABA THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-17",
        "last_updated": "2025-10-17",
        "certification_date": "2025-10-17",
        "status": "A",
        "authorized_official_last_name": "VALDES",
        "authorized_official_first_name": "ALEXA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-733-3625"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.