Organization Active NPI

Good Life Behavior Corp

  • Behavior Analyst
  • West Palm Beach, FL
National Provider Identifier
1235811688
Registry record updated Aug 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
GOOD LIFE BEHAVIOR CORP
Practice address
2240 Palm Beach Lakes Blvd Ste 400L
West Palm Beach, FL 33409-3410
Phone
(786) 709-7932
NPI assigned
Aug 4, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2023

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

Authorized official

Name
Alejandro Vega Cruz
Title
Director
Phone
(786) 709-7932

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

2240 Palm Beach Lakes Blvd Ste 400L
West Palm Beach, FL 33409-3410

Mailing address

2240 Palm Beach Lakes Blvd Ste 400L
West Palm Beach, FL 33409-3410
Phone (786) 709-7932

National Provider Directory

National Provider Directory

Locations

2240 Palm Beach Lakes Blvd
Ste 400L
West Palm Beach, FL 33409
Phone (786) 709-7932

NPI Registry JSON

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

{
    "created_epoch": "1691107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691193600000",
    "number": "1235811688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2240 PALM BEACH LAKES BLVD STE 400L",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334093410",
            "telephone_number": "786-709-7932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 PALM BEACH LAKES BLVD STE 400L",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334093410",
            "telephone_number": "786-709-7932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD LIFE BEHAVIOR CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-04",
        "last_updated": "2023-08-05",
        "certification_date": "2023-08-05",
        "status": "A",
        "authorized_official_last_name": "VEGA CRUZ",
        "authorized_official_first_name": "ALEJANDRO",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "786-709-7932"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2023; 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.