Organization Active NPI

Changing Lives Behavioral Health Services

  • Behavior Analyst
  • Cutler Bay, FL
National Provider Identifier
1104530633
Registry record updated Oct 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
CHANGING LIVES BEHAVIORAL HEALTH SERVICES
Practice address
10446 SW 227TH Ter
Cutler Bay, FL 33190-1397
Phone
(786) 681-3682
NPI assigned
Jan 10, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Yanelis Alonso, BCBANPI 1346697257
Title
Ceo
Phone
(786) 681-3682

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

10446 SW 227TH Ter
Cutler Bay, FL 33190-1397

Mailing address

10446 SW 227TH Ter
Cutler Bay, FL 33190-1397
Phone (786) 681-3682

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1673308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728086400000",
    "number": "1104530633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10446 SW 227TH TER",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331901397",
            "telephone_number": "786-681-3682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10446 SW 227TH TER",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331901397",
            "telephone_number": "786-681-3682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANGING LIVES BEHAVIORAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-10",
        "last_updated": "2024-10-05",
        "certification_date": "2024-10-05",
        "status": "A",
        "authorized_official_last_name": "ALONSO",
        "authorized_official_first_name": "YANELIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "786-681-3682",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cutler Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.