All Florida ABA Corp

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

ALL FLORIDA ABA CORP

Practice address

5240 Bank St Ste 14
Fort Myers, FL 33907-2110

Phone

(786) 269-8757

NPI assigned

Nov 30, 2020

Last updated

Jan 28, 2021By 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

Reydel Lopez Mendez

Title

President

Phone

(786) 269-8757

Specialties & licenses 4

Addresses

Locations

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

{
    "created_epoch": "1606694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611792000000",
    "number": "1548864556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5540 BANK ST",
            "address_2": "SUIT 14",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "33907",
            "telephone_number": "786-269-8757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5240 BANK ST STE 14",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339072110",
            "telephone_number": "786-269-8757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALL FLORIDA ABA CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-30",
        "last_updated": "2021-01-28",
        "certification_date": "2020-12-04",
        "status": "A",
        "authorized_official_last_name": "MENDEZ",
        "authorized_official_first_name": "REYDEL",
        "authorized_official_middle_name": "LOPEZ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-269-8757"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_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": []
}

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• 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 Jan 28, 2021; 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.