Act Life Transitions
Organization Active NPI Behavior Analyst · Indialantic, FL
NPI 1881113629 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1881113629
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 1-04-2044
- Legal business name
- ACT LIFE TRANSITIONS
- Practice address
- 2965 Limpet CT
Indialantic, FL 32903-1825 - Phone
- (321) 265-7557
- NPI assigned
- Sep 13, 2017
- Organization subpart
- No
Authorized official
- Name
- Ms. Carrie Erin Connelly, BCBA
- Title
- Coo of Clinical Program Development
- Phone
- (321) 265-7557
Corporate family (same tax ID) 1
Practitioners 1
-
Carrie Erin Connelly, M.S., BCBA
National Provider Directory
- Tax ID family
- Act Life Transitions
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst |
103K00000X | 1-04-2044 | Yes |
Addresses
Primary practice location
2965 Limpet CT
Indialantic, FL 32903-1825
Mailing address
2965 Limpet CT
Indialantic, FL 32903-1825
Phone (321) 265-7557
Other practice location 1
1055 Kensington Park Dr Unit 217
Altamonte Springs, FL 32714-1978
Phone (407) 412-9113
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1-04-2044 | Other | BEHAVIOR ANALYSIS CERTIFICATION BOARD |
Other providers in Indialantic, FL
- Aalliance Rehab Inc
- Accessible Eye Care LLC
- Act Life Transitions, LLC.
- Acupuncture Solutions
- Acupuncture Solutions, LLC
- Elizabeth Adams
- Elizabeth Adams
All providers in Indialantic, FL · Behavior Analyst in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.