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Organization
PRESTIGE ABA SERVICES LLC
Active
Organization
PRESTIGE ABA SERVICES LLC
Active
Other names
Prestige ABA Services LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MAIRELYS CONCEPCION RBT (OWNER)
(786) 317-0100
Entity
Organization
Contact information
Practice address
4350 FOWLER ST STE 3, FORT MYERS, FL 33901-2616
(786) 317-0100
(813) 776-1620
Mailing address
4350 FOWLER ST STE 3, FORT MYERS, FL 33901-2616
(786) 317-0100
(813) 776-1620
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
02/08/2021
Last updated
02/12/2025
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