Elite Behavior LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

ELITE BEHAVIOR LLC

Practice address

10838 Woodbrook Cir
Lakeland, FL 33809-1170

Phone

(813) 522-9625

NPI assigned

Jan 3, 2022

Last updated

Aug 8, 2023By 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

Rolando Humberto Betancourt FeriaNPI 1265040679

Title

Owner

Phone

(352) 364-7650

Specialties & licenses 1

Addresses

Practitioners 2

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.

• Rolando Humberto Betancourt Feria

  • Behavior Technician
  • Lakeland, FL
  • NPI 1265040679

  In Home Supportive Care

  NPD Authorized official
• Ileana Felipe Santos, MBA, M.ED.

  • Speech-Language Assistant
  • Sanford, FL
  • NPI 1972891323

  In Home Supportive Care

  NPD (past)

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

{
    "created_epoch": "1641168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691452800000",
    "number": "1376204206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10838 WOODBROOK CIR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338091170",
            "telephone_number": "813-522-9625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10838 WOODBROOK CIR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338091170",
            "telephone_number": "813-522-9625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE BEHAVIOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-03",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A",
        "authorized_official_last_name": "BETANCOURT FERIA",
        "authorized_official_first_name": "ROLANDO",
        "authorized_official_middle_name": "HUMBERTO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-364-7650"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marie Caswell Elkins, L.M.T., L.P.T.A

• In Home Supportive Care Agency in Lakeland, FL
• Providers in Lakeland, FL by specialty
• In Home Supportive Care Agency in Florida

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