Lifetime Changes Behavior Services LLC
NPI 1578182770 · Early Intervention Provider Agency · Staten Island, NY
Lifetime Changes Behavior Services LLC is a Early Intervention Provider Agency organization in Staten Island, NY (NPI 1578182770).
Provider details
- NPI number
- 1578182770
- Entity type
- Organization
- Primary specialty
- Early Intervention Provider AgencyAgencies
- Organization subpart
- No
- Authorized official
- Dana Van Dyke, Owner/Program Director(929) 256-0231
Specialties & taxonomies
Agencies
- Case Management Agency251B00000X
Agencies
Agencies
- Community/Behavioral Health Agency251S00000X
Agencies
- Community Health Clinic/Center261QC1500X
Ambulatory Health Care Facilities
- Developmental Disabilities Clinic/Center261QD1600X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Mailing address
Additional practice locations (1)
- 20 Cowen Pl Fl 1Staten Island, NY 10303-2012Phone: (929) 256-0231
Registry dates
- Enumerated
- 2020-04-09
- Last updated
- 2021-05-25
- Certified
- 2021-05-25
Frequently asked questions
- What is Lifetime Changes Behavior Services LLC's NPI number?
- Lifetime Changes Behavior Services LLC's National Provider Identifier (NPI) is 1578182770, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lifetime Changes Behavior Services LLC?
- Lifetime Changes Behavior Services LLC is classified in the NPPES registry as Early Intervention Provider Agency (Agencies).
- Where is Lifetime Changes Behavior Services LLC located?
- Lifetime Changes Behavior Services LLC's practice location on file with NPPES is 683 Henderson Ave Ste a, Staten Island, NY 10310-1575.
- What is Lifetime Changes Behavior Services LLC's phone number?
- The practice phone number listed in the NPPES registry for Lifetime Changes Behavior Services LLC is (929) 256-0231.
- Who is the authorized official for Lifetime Changes Behavior Services LLC?
- The authorized official listed on Lifetime Changes Behavior Services LLC's NPPES record is Dana Van Dyke, Owner/Program Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lifetime Changes Behavior Services LLC's NPI active?
- Yes — Lifetime Changes Behavior Services LLC's NPI (1578182770) is active in the NPPES registry as of the last update on 2021-05-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.