Lifestyle Behavior LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

LIFESTYLE BEHAVIOR LLC

Practice address

1931 NW 150TH Ave
Ste 223
Pembroke Pines, FL 33028-2880

Phone

(954) 406-7278

Fax

(954) 406-7241

NPI assigned

Jul 19, 2023

Organization subpart

No

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

Authorized official

Name

Antonio E Gonzalez VelezNPI 1508797259

Title

Owner

Phone

(754) 261-0682

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Antonio Gonzalez Velez, BCBA

  • Behavior Analyst
  • Pembroke Pines, FL
  • NPI 1508797259
  NPD Authorized official

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

{
    "created_epoch": "1689724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707350400000",
    "number": "1669152286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1931 NW 150TH AVE",
            "address_2": "STE 223",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330282880",
            "telephone_number": "954-406-7278",
            "fax_number": "954-406-7241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1931 NW 150TH AVE",
            "address_2": "STE 223",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330282880",
            "telephone_number": "954-406-7278",
            "fax_number": "954-406-7241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESTYLE BEHAVIOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-19",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ VELEZ",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "754-261-0682"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Meagan Ligorria
• Liliam Hernandez DMD PA
• Lilian Pfeiffer LCSW P.a.

• Behavior Analyst in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; 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.