OrganizationActive
Lasting Behavior Changes
NPI 1609642016 · Behavior Technician · Lake Worth, FL
Provider details
- NPI number
- 1609642016
- Entity type
- Organization
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Yenisey Fernandez, Bcba(561) 315-4170
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
8461 Lake Worth Rd Ste 150
Lake Worth, FL 33467-2474
Phone: (561) 714-7042
Street-level locationGet directions
Mailing address
2350 Lantana Rd Apt 3206
Lake Worth, FL 33462-0925
Registry dates
- Enumerated
- 2023-11-27
- Last updated
- 2023-11-27
- Certified
- 2023-11-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.