Lakeland's Children Therapy Center, LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

LAKELAND'S CHILDREN THERAPY CENTER, LLC

Practice address

1828 Thompson Preserve Blvd
Bartow, FL 33830-9369

Phone

(786) 602-0904

NPI assigned

May 8, 2025

Last updated

May 8, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Luis Yance

Title

Administrator

Phone

(786) 602-0904

Specialties & licenses 1

Addresses

Tax ID family

Lakeland's Children Therapy Center LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Lakeland's Children Therapy Center, LLC

  • Pediatric Physical Therapist
  • Lakeland, FL
  • NPI 1699535492
  NPD tax ID

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

{
    "created_epoch": "1746662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746662400000",
    "number": "1265222624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1828 THOMPSON PRESERVE BLVD",
            "city": "BARTOW",
            "state": "FL",
            "postal_code": "338309369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1828 THOMPSON PRESERVE BLVD",
            "city": "BARTOW",
            "state": "FL",
            "postal_code": "338309369",
            "telephone_number": "786-602-0904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKELAND'S CHILDREN THERAPY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-08",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A",
        "authorized_official_last_name": "YANCE",
        "authorized_official_first_name": "LUIS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "786-602-0904"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cathy Kolcun
• Billy Sana Kong, MD
• Alice C Koos, RPH
• Sarah Kozich
• Paula Sue Labiak, RN
• Lakeside Medical Centers, Inc.
• Lakeside of Lakeland
• Olivia Lamb
• Nancy P Langston, LMHC
• Olierti Lantigua, CASE MANAGER

• Behavior Analyst in Bartow, FL
• Providers in Bartow, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2025; 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.