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Organization
LASTING CHANGE LLC
Active
Organization
LASTING CHANGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDNEI ESTEVEZ BCBA (OWNER)
(561) 788-3113
Entity
Organization
Contact information
Practice address
1645 PALM BEACH LAKES BLVD STE 1200, WEST PALM BEACH, FL 33401-2214
(561) 788-3113
Mailing address
12312 SW 10TH LN, MIAMI, FL 33184-2445
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018015100
—
FL
Enumeration date
07/12/2021
Last updated
07/12/2021
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