Childrens Behavioral Rehab LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

CHILDRENS BEHAVIORAL REHAB LLC

Practice address

3020 Lee Blvd Ste 10
Lehigh Acres, FL 33971-2438

Phone

(786) 499-5497

NPI assigned

Aug 31, 2021

Organization subpart

No

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

Authorized official

Name

Miss Yoleidis Gonzalez

Title

Owner

Phone

(786) 499-5497

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1630368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724630400000",
    "number": "1891463378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4143 SW 74TH CT STE B",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331554467",
            "telephone_number": "786-499-5497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 LEE BLVD STE 10",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339712438",
            "telephone_number": "786-499-5497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDRENS BEHAVIORAL REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-31",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "YOLEIDIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-499-5497",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chanun Park DO PA
• Ada Charleus
• Yaneisi Chaviano
• Deborah Louise Chenoweth, RPH
• Childrens ABA Services, LLC
• Childrens Rehab Lehigh LLC
• Childrens Rehab Lehigh LLC
• Fernando Chinea Cruz
• Yoselin Chinea
• CHR Studies LLC

• Community/Behavioral Health Agency in Lehigh Acres, FL
• Providers in Lehigh Acres, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.