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Organization
LASTING BEHAVIOR CHANGES
Active
Organization
LASTING BEHAVIOR CHANGES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YENISEY FERNANDEZ (BCBA)
(561) 315-4170
Entity
Organization
Contact information
Practice address
8461 LAKE WORTH RD STE 150, LAKE WORTH, FL 33467-2474
(561) 714-7042
Mailing address
2350 LANTANA RD APT 3206, LAKE WORTH, FL 33462-0925
(561) 713-8258
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/27/2023
Last updated
11/27/2023
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