ABA LYFE, PLLC
NPI 1417639287
Community/Behavioral Health in Fort Walton Beach, FL

Active since August 02, 2023
1007 PINEVIEW BLVD UNIT C, FORT WALTON BEACH, FL 32547(925) 337-7384 Get Directions Write a Review

NPPES record last updated: August 2, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Aba Lyfe, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ABA LYFE, PLLC (NPI 1417639287) is a healthcare organization registered as a community/behavioral health in Fort Walton Beach, Florida and active in the NPI registry since August 2023. The organization lists Taylor Detherow, Bcba, as its authorized official.

NPPES Registry Identity

NPI1417639287
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameABA LYFE, PLLC
Location Address1007 PINEVIEW BLVD UNIT CFort Walton Beach, FL 32547-1499
Mailing Address1007 Pineview Blvd Unit CFort Walton Beach, FL 32547-1499 · (925) 337-7384
Organization SubpartNo
Authorized OfficialTaylor DetherowBcba · (925) 337-7384
Enumeration DateAugust 2, 2023
NPPES CertifiedAugust 2, 2023
NPI 1417639287 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
1007 PINEVIEW BLVD UNIT C, Fort Walton Beach, FL 32547

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Aba Lyfe, PLLC's NPI number?

The NPI number for Aba Lyfe, PLLC is 1417639287. It was assigned to this organization in the NPPES registry on August 2, 2023.

Where is Aba Lyfe, PLLC located?

Aba Lyfe, PLLC is located at 1007 Pineview Blvd Unit C, Fort Walton Beach, FL 32547. The listed phone number is (925) 337-7384.

What is Aba Lyfe, PLLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Aba Lyfe, PLLC was last updated on August 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.