Premier ABA Therapy LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

PREMIER ABA THERAPY LLC

Practice address

13420 Parker Commons Blvd # 106B
Fort Myers, FL 33912-1973

Phone

(786) 250-9798

NPI assigned

Aug 14, 2026

Last updated

Aug 14, 2026By 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

Gabriel D Urdaneta Boscan

Title

Owner/Managing Member

Phone

(786) 250-9798

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1786665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786665600000",
    "number": "1902711930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13420 PARKER COMMONS BLVD # 106B",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339121973",
            "telephone_number": "786-250-9798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13420 PARKER COMMONS BLVD # 106B",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339121973",
            "telephone_number": "786-250-9798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER ABA THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-14",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A",
        "authorized_official_last_name": "URDANETA BOSCAN",
        "authorized_official_first_name": "GABRIEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER/MANAGING MEMBER",
        "authorized_official_telephone_number": "786-250-9798"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "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 Aug 14, 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.