Provider Demographics
NPI:1124994058
Name:PRECIOUS MINDS ABA LLC
Entity type:Organization
Organization Name:PRECIOUS MINDS ABA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ISMENIA
Authorized Official - Middle Name:L
Authorized Official - Last Name:JOCIK RAMON
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:786-291-4267
Mailing Address - Street 1:12530 WORLD PLAZA LN STE OFFICE1G
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33907-4072
Mailing Address - Country:US
Mailing Address - Phone:786-291-4267
Mailing Address - Fax:
Practice Address - Street 1:12530 WORLD PLAZA LN STE OFFICE1G
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33907-4072
Practice Address - Country:US
Practice Address - Phone:786-291-4267
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-16
Last Update Date:2025-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty