| Lasting Behavior Changes, Inc. | |
|
8461 Lake Worth Rd Lake Worth FL 33467-2474 | |
| (561) 315-4170 | |
| Not Available |
| Full Name | Lasting Behavior Changes, Inc. |
|---|---|
| Speciality | Behavior Analyst |
| Location | 8461 Lake Worth Rd, Lake Worth, Florida |
| Authorized Official Name and Position | Yenisey Fernandez (PRESIDENT) |
| Authorized Official Contact | 5613154170 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lasting Behavior Changes, Inc. 122 Monterey Way West Palm Beach FL 33411-7801 Ph: (561) 315-4170 | Lasting Behavior Changes, Inc. 8461 Lake Worth Rd Lake Worth FL 33467-2474 Ph: (561) 315-4170 |
| NPI Number | 1467004986 |
|---|---|
| Provider Enumeration Date | 07/15/2019 |
| Last Update Date | 12/13/2023 |
| Certification Date | 12/13/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467004986 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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