NPI 1619461464 · live from the CMS NPI Registry
A Change In Trajectory, LLC
Behavior Analyst in Clearwater, FL. National Provider Identifier 1619461464, active.
NPI record
| NPI | 1619461464 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 1844 Monica Dr, Clearwater, FL 33763 |
| Practice phone | 414-202-1035 |
| Mailing address | 1844 Monica Drive, Clearwater, FL 33763 |
| Enumerated | June 15, 2018 |
| Last updated | April 10, 2019 |
| Authorized official | Kimberly Turack, Owner, Lead Bcba |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.