Organization Active NPI

Advance ABA & Psychotereaphy Services, LLC.

  • Assistant Behavior Analyst
  • Lehigh Acres, FL
National Provider Identifier
1346031879
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assistant Behavior AnalystTaxonomy code 106E00000X
Legal business name
ADVANCE ABA & PSYCHOTEREAPHY SERVICES, LLC.
Practice address
2808 58TH St W
Lehigh Acres, FL 33971-5802
Phone
(561) 674-4357
NPI assigned
May 14, 2025
Last updated
May 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2025

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

Authorized official

Name
Liodanis RodriguezNPI 1427976794
Title
Ar
Phone
(561) 674-4357

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X
Assistant Behavior Analyst 106E00000X Primary
Behavior Technician 106S00000X

Addresses

Primary practice location

2808 58TH St W
Lehigh Acres, FL 33971-5802

Mailing address

2808 58TH St W
Lehigh Acres, FL 33971-5802
Phone (561) 674-4357

National Provider Directory

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1747180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747180800000",
    "number": "1346031879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2808 58TH ST W",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339715802",
            "telephone_number": "561-674-4357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2808 58TH ST W",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339715802",
            "telephone_number": "561-674-4357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE ABA & PSYCHOTEREAPHY SERVICES, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-14",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "LIODANIS",
        "authorized_official_title_or_position": "AR",
        "authorized_official_telephone_number": "561-674-4357"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehigh Acres, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.