OrganizationActive
Lifespan Behavior Services LLC
NPI 1487102323 · Early Intervention Provider Agency · Belleview, FL
Provider details
- NPI number
- 1487102323
- Entity type
- Organization
- Primary specialty
- Early Intervention Provider AgencyAgencies
- Organization subpart
- No
- Authorized official
- Andrea Tobon, Manager/Supervising Behavior Analys(352) 233-7465
Specialties & taxonomies
Agencies
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4611 Se 100th Pl
Belleview, FL 34420-3013
Phone: (352) 559-2539
Street-level locationGet directions
Mailing address
4611 Se 100th Pl
Belleview, FL 34420-3013
Registry dates
- Enumerated
- 2016-09-21
- Last updated
- 2025-01-15
- Certified
- 2025-01-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.