Active NPI
Galaxy Behavior Therapy Inc
- Behavior Analyst
- Lehigh Acres, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Legal business name
- GALAXY BEHAVIOR THERAPY INC
- Practice address
- 904 Lee Blvd Ste 109
Lehigh Acres, FL 33936-4953 - Phone
- (786) 317-0375
- Fax
- (855) 523-1291
- NPI assigned
- Jan 30, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gissel Chang
- Title
- Owner
- Phone
- (786) 317-0375
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
904 Lee Blvd Ste 109
Lehigh Acres, FL 33936-4953
Mailing address
904 Lee Blvd Ste 109
Lehigh Acres, FL 33936-4953
Phone (786) 317-0375
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 018657300 | Medicaid | FL | |
| 108848300 | Medicaid | FL |
National Provider Directory
National Provider Directory- Tax ID family
- Galaxy Behavior Therapy Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Aide
- Lehigh Acres, FL
- NPI 1023828597
-
dba Galaxy Homemaker and Companion Services
- Homemaker
- Lehigh Acres, FL
- NPI 1851109441
Locations
904 Lee Blvd
Ste 109
Lehigh Acres, FL 33936
Phone (786) 317-0375
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Behavior Technician
- Lehigh Acres, FL
- NPI 1417473976
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485734400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1750809600000",
"number": "1962949867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "904 LEE BLVD STE 109",
"city": "LEHIGH ACRES",
"state": "FL",
"postal_code": "339364953",
"telephone_number": "786-317-0375",
"fax_number": "855-523-1291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "904 LEE BLVD STE 109",
"city": "LEHIGH ACRES",
"state": "FL",
"postal_code": "339364953",
"telephone_number": "786-317-0375",
"fax_number": "855-523-1291"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GALAXY BEHAVIOR THERAPY INC",
"organizational_subpart": "NO",
"enumeration_date": "2017-01-30",
"last_updated": "2025-06-25",
"certification_date": "2025-06-25",
"status": "A",
"authorized_official_last_name": "CHANG",
"authorized_official_first_name": "GISSEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "786-317-0375"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "018657300",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "108848300",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lehigh Acres, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.