Organization
PRESTIGE ABA SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAIRELYS CONCEPCION (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
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
06/03/2025
Last updated
06/03/2025
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