Lasting Behavior Changes
Behavior Technician in Lake Worth, FL. Organization (NPI-2).
NPI number1609642016
StatusActive
Last updated in NPPESNov 27, 2023
Details
- NPI
- 1609642016
- Entity type
- Organization (NPI-2)
- Legal business name
- Lasting Behavior Changes
- Organization subpart
- No
- Enumeration date
- Nov 27, 2023
- Certification date
- Nov 27, 2023
- Last updated
- Nov 27, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
8461 Lake Worth Rd Ste 150Lake Worth, FL 33467-2474
Phone 561-714-7042
Mailing address
2350 Lantana Rd Apt 3206Lake Worth, FL 33462-0925
Phone 561-713-8258
Authorized official
Yenisey Fernandez
Bcba
5613154170
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