Changing Lives Behavior Therapy, LLC
Behavior Analyst in Southwest Ranches, FL. Organization (NPI-2).
NPI number1164079620
StatusActive
Last updated in NPPESNov 28, 2022
Details
- NPI
- 1164079620
- Entity type
- Organization (NPI-2)
- Legal business name
- Changing Lives Behavior Therapy, LLC
- Organization subpart
- No
- Enumeration date
- Aug 20, 2019
- Certification date
- Nov 28, 2022
- Last updated
- Nov 28, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | – | – | Yes |
Practice location
6201 Sw 188th AveSouthwest Ranches, FL 33332-1350
Phone 954-918-3592
Mailing address
6201 Sw 188th AveSouthwest Ranches, FL 33332-1350
Authorized official
Jenny Amarante
Board Certified Behavior Analyst
9549183592
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