Lasting Change LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

LASTING CHANGE LLC

Practice address

1645 Palm Beach Lakes Blvd Ste 1200
West Palm Beach, FL 33401-2214

Phone

(561) 788-3113

NPI assigned

Jul 12, 2021

Organization subpart

No

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

Authorized official

Name

Ednei Estevez, BCBA

Title

Owner

Phone

(561) 788-3113

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1626048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626048000000",
    "number": "1790357614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12312 SW 10TH LN",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331842445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1645 PALM BEACH LAKES BLVD STE 1200",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334012214",
            "telephone_number": "561-788-3113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LASTING CHANGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-12",
        "last_updated": "2021-07-12",
        "certification_date": "2021-07-12",
        "status": "A",
        "authorized_official_last_name": "ESTEVEZ",
        "authorized_official_first_name": "EDNEI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-788-3113",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018015100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2021; 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.