Organization Active NPI

Behavior Change and Associates

  • Behavior Analyst
  • Longwood, FL
National Provider Identifier
1366928251
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
11211921 Issued in FL
Legal business name
BEHAVIOR CHANGE AND ASSOCIATES
Practice address
160 E Lake Brantley Dr
Longwood, FL 32779-4807
Phone
(321) 972-6720
Fax
(321) 295-7027
NPI assigned
Jul 14, 2018
Last updated
Jan 22, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

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

Authorized official

Name
Michele Lynn McGlamory, M.S., BCBANPI 1174861256
Title
Owner
Phone
(813) 390-9482

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 Analyst 103K00000X 11211921 FL Primary

Addresses

Primary practice location

160 E Lake Brantley Dr
Longwood, FL 32779-4807

Mailing address

160 E Lake Brantley Dr
Longwood, FL 32779-4807
Phone (321) 972-6720

National Provider Directory

National Provider Directory

Locations

160 E Lake Brantley Dr
Longwood, FL 32779
Phone (321) 297-6720

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1531526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737504000000",
    "number": "1366928251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 E LAKE BRANTLEY DR",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327794807",
            "telephone_number": "321-972-6720",
            "fax_number": "321-295-7027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 E LAKE BRANTLEY DR",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327794807",
            "telephone_number": "321-972-6720",
            "fax_number": "321-295-7027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIOR CHANGE AND ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-14",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A",
        "authorized_official_last_name": "MCGLAMORY",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-390-9482",
        "authorized_official_credential": "M.S., BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "11211921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longwood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.