Organization Active NPI

Yeshua ABA Services LLC

Doing business as N/a

  • Health Service Clinic/Center
  • Naples, FL
National Provider Identifier
1629733530
Registry record updated Nov 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
YESHUA ABA SERVICES LLC
Doing business as
N/a
Practice address
3711 4TH Ave NE
Naples, FL 34120-4906
Phone
(786) 399-8663
NPI assigned
Nov 4, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2021

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

Authorized official

Name
Victor M Diaz Rodriguez
Title
Manager
Phone
(786) 399-8663

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

3711 4TH Ave NE
Naples, FL 34120-4906

Mailing address

3711 4TH Ave NE
Naples, FL 34120-4906
Phone (786) 399-8663

Other names 1

  • N/A Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1635984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635984000000",
    "number": "1629733530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3711 4TH AVE NE",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341204906",
            "telephone_number": "786-399-8663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3711 4TH AVE NE",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341204906",
            "telephone_number": "786-399-8663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YESHUA ABA SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-04",
        "last_updated": "2021-11-04",
        "certification_date": "2021-11-04",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "VICTOR M",
        "authorized_official_middle_name": "DIAZ",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "786-399-8663"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "N/A",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.