Organization Active NPI

Momentum ABA Services LLC

  • Behavior Analyst
  • Fort Myers, FL
National Provider Identifier
1619890936
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
MOMENTUM ABA SERVICES LLC
Practice address
17595 S Tamiami TRL Ste 250E
Fort Myers, FL 33908-4570
Phone
(239) 933-7034
NPI assigned
Aug 3, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

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

Authorized official

Name
Brian Correa
Title
Owner
Phone
(239) 933-7034

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

17595 S Tamiami TRL Ste 250E
Fort Myers, FL 33908-4570

Mailing address

17595 S Tamiami TRL Ste 250E
Fort Myers, FL 33908-4570
Phone (239) 933-7034

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1785715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785715200000",
    "number": "1619890936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17595 S TAMIAMI TRL STE 250E",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339084570",
            "telephone_number": "239-933-7034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17595 S TAMIAMI TRL STE 250E",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339084570",
            "telephone_number": "239-933-7034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOMENTUM ABA SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-03",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A",
        "authorized_official_last_name": "CORREA",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-933-7034"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-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 Aug 3, 2026; 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.