Active NPI
Beautiful Minds ABA Services LLC
- Behavior Analyst
- Fort Myers, FL
National Provider Identifier
1609573344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Legal business name
- BEAUTIFUL MINDS ABA SERVICES LLC
- Practice address
- 918 Dean Way
Fort Myers, FL 33919-3208 - Phone
- (305) 799-6969
- NPI assigned
- Feb 13, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Yoandra M Gomez Sole
- Title
- Owner
- Phone
- (305) 799-6969
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
918 Dean Way
Fort Myers, FL 33919-3208
Mailing address
918 Dean Way
Fort Myers, FL 33919-3208
Phone (305) 799-6969
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676246400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1676246400000",
"number": "1609573344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "918 DEAN WAY",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339193208",
"telephone_number": "305-799-6969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "918 DEAN WAY",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339193208",
"telephone_number": "305-799-6969"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BEAUTIFUL MINDS ABA SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-02-13",
"last_updated": "2023-02-13",
"certification_date": "2023-02-13",
"status": "A",
"authorized_official_last_name": "GOMEZ SOLE",
"authorized_official_first_name": "YOANDRA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "305-799-6969"
},
"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 Feb 13, 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.