Provider Demographics
NPI:1720884224
Name:BEHAVIORAL CHANGES LLC
Entity type:Organization
Organization Name:BEHAVIORAL CHANGES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YARELIS
Authorized Official - Middle Name:
Authorized Official - Last Name:LOPEZ ALVAREZ
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:602-366-5768
Mailing Address - Street 1:3837 W TOWNLEY AVE
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85051-3748
Mailing Address - Country:US
Mailing Address - Phone:480-434-9044
Mailing Address - Fax:
Practice Address - Street 1:3837 W TOWNLEY AVE
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85051-3748
Practice Address - Country:US
Practice Address - Phone:480-434-9044
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-24
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty