Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

ABA Lyfe, PLLC

Organization Community/Behavioral Health Agency · NPI 1417639287

ABA Lyfe, PLLC is a Community/Behavioral Health Agency in Fort Walton Beach, Florida. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1007 Pineview Blvd Unit C
Fort Walton Beach, FL 32547-1499
Phone: (925) 337-7384
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X

Record details

NPI number1417639287
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Taylor Detherow — Bcba · (925) 337-7384
NPI enumeratedAugust 2, 2023
Last updated in NPPESAugust 2, 2023
Certification dateAugust 2, 2023
Mailing address1007 Pineview Blvd Unit C, Fort Walton Beach, FL 32547-1499

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