| Lasting Behavior Changes | |
|
8461 Lake Worth Rd Ste 150 Lake Worth FL 33467-2474 | |
| (561) 714-7042 | |
| Not Available |
| Full Name | Lasting Behavior Changes |
|---|---|
| Speciality | Behavior Technician |
| Location | 8461 Lake Worth Rd Ste 150, Lake Worth, Florida |
| Authorized Official Name and Position | Yenisey Fernandez (BCBA) |
| Authorized Official Contact | 5613154170 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lasting Behavior Changes 2350 Lantana Rd Apt 3206 Lake Worth FL 33462-0925 Ph: (561) 713-8258 | Lasting Behavior Changes 8461 Lake Worth Rd Ste 150 Lake Worth FL 33467-2474 Ph: (561) 714-7042 |
| NPI Number | 1609642016 |
|---|---|
| Provider Enumeration Date | 11/27/2023 |
| Last Update Date | 11/27/2023 |
| Certification Date | 11/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609642016 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106S00000X | Behavior Technician | (* (Not Available)) | Primary |
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