Organization Active NPI

ABA Agape Behavior Therapy LLC

  • Behavior Analyst
  • Fort Myers, FL
National Provider Identifier
1316716764
Registry record updated Dec 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
ABA AGAPE BEHAVIOR THERAPY LLC
Practice address
8423 Bernwood Cove Loop
Fort Myers, FL 33966-8136
Phone
(786) 523-4930
NPI assigned
Dec 27, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2023

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

Authorized official

Name
Maylin Orozco HernandezNPI 1336596139
Title
Ceo
Phone
(786) 523-4930

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: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

8423 Bernwood Cove Loop
Fort Myers, FL 33966-8136

Mailing address

8423 Bernwood Cove Loop
Fort Myers, FL 33966-8136
Phone (786) 523-4930

National Provider Directory

National Provider Directory
Tax ID family
ABA Agape Behavior Therapy LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

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": "1703635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703635200000",
    "number": "1316716764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8423 BERNWOOD COVE LOOP",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339668136",
            "telephone_number": "786-523-4930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8423 BERNWOOD COVE LOOP",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339668136",
            "telephone_number": "786-523-4930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABA AGAPE BEHAVIOR THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-27",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A",
        "authorized_official_last_name": "OROZCO HERNANDEZ",
        "authorized_official_first_name": "MAYLIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "786-523-4930"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2023; 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.