Organization Active NPI

Changing Lives Behavioral Support Corp

  • Behavior Analyst
  • Miami, FL
National Provider Identifier
1932947280
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
CHANGING LIVES BEHAVIORAL SUPPORT CORP
Practice address
175 Fontainebleau Blvd Ste 2J1A
Miami, FL 33172-7017
Phone
(305) 590-1085
NPI assigned
Jul 18, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

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

Authorized official

Name
Daynell Santana EchevarriaNPI 1306726781
Title
President
Phone
(346) 558-4018

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 AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

175 Fontainebleau Blvd Ste 2J1A
Miami, FL 33172-7017

Mailing address

175 Fontainebleau Blvd Ste 2J1A
Miami, FL 33172-7017
Phone (305) 590-1085

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1721260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785801600000",
    "number": "1932947280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 FONTAINEBLEAU BLVD STE 2J1A",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331727017",
            "telephone_number": "305-590-1085",
            "fax_number": "305-770-6766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 FONTAINEBLEAU BLVD STE 2J1A",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331727017",
            "telephone_number": "305-590-1085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANGING LIVES BEHAVIORAL SUPPORT CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-18",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A",
        "authorized_official_last_name": "SANTANA ECHEVARRIA",
        "authorized_official_first_name": "DAYNELL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "346-558-4018"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; 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.