Organization Active NPI

Lasting Behavior Changes

  • Behavior Technician
  • Lake Worth, FL
National Provider Identifier
1609642016
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Legal business name
LASTING BEHAVIOR CHANGES
Practice address
8461 Lake Worth Rd Ste 150
Lake Worth, FL 33467-2474
Phone
(561) 714-7042
NPI assigned
Nov 27, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Authorized official

Name
Yenisey FernandezNPI 1922379239
Title
Bcba
Phone
(561) 315-4170

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 TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 106S00000X Primary

Addresses

Primary practice location

8461 Lake Worth Rd Ste 150
Lake Worth, FL 33467-2474

Mailing address

2350 Lantana Rd Apt 3206
Lake Worth, FL 33462-0925
Phone (561) 713-8258

National Provider Directory

National Provider Directory

Locations

8461 Lake Worth Rd
Ste 150
Lake Worth, FL 33467
Phone (561) 315-4170

Practitioners & affiliated clinicians

Practitioners 2

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": "1701043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1609642016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 LANTANA RD APT 3206",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334620925",
            "telephone_number": "561-713-8258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8461 LAKE WORTH RD STE 150",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334672474",
            "telephone_number": "561-714-7042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LASTING BEHAVIOR CHANGES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-27",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "YENISEY",
        "authorized_official_title_or_position": "BCBA",
        "authorized_official_telephone_number": "561-315-4170"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.