Organization
CHANGING BEHAVIORS & LIVES ABA THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH QUEVEDO BCBA (BEHAVIOR ANALYST)
(305) 467-2240
Entity
Organization
Contact information
Practice address
6503 SW 162ND PATH, MIAMI, FL 33193-4469
(305) 467-2240
Mailing address
6503 SW 162ND PATH, MIAMI, FL 33193-4469
(305) 467-2240
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
—
—
Other
Enumeration date
11/17/2022
Last updated
09/26/2023
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