LIFETIME CHANGES BEHAVIOR SERVICES LLC NPI 1578182770

NPI Information

NPI: 1578182770
Provider Name: LIFETIME CHANGES BEHAVIOR SERVICES LLC
Classification: Early Intervention Provider Agency - 252Y00000X
Entity Type: Organization
Address: 683 HENDERSON AVE STE A
STATEN ISLAND, NY
ZIP 10310
Phone: (929) 256-0231

Map and Directions

Get Directions

NPI Details

LIFETIME CHANGES BEHAVIOR SERVICES LLC is an early intervention provider agency in Staten Island, NY. The provider is early intervention services are an effective way to address the needs of infants and toddlers who have developmental delays or disabilities. The services are made available through a federal law known as the Individuals with Disabilities Education Act (IDEA). IDEA provides states and territories with specific requirements for providing early intervention services to infants and toddlers with special needs. In turn, each state and territory develops its own policies for carrying out IDEA and its requirements. Broadly speaking, early intervention services are special services for eligible infants and toddlers and their families. These services are designed to identify and meet children's needs in five developmental areas. These areas are: physical development, cognitive development, communication, social or emotional development, and adaptive development. LIFETIME CHANGES BEHAVIOR SERVICES LLC NPI is 1578182770. The provider is registered as an organization entity type.

The provider's business location address is:

683 HENDERSON AVE STE A
STATEN ISLAND, NY
ZIP 10310-575
Phone: (929) 256-0231
Fax: (718) 732-2628

The provider's authorized official is Dana Van Dyke .
The authorized official title is Owner/program Director and has the following contact phone number (929) 256-0231.

The enumeration date for this NPI number is 4/9/2020 and was last updated on 5/25/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	251B00000X	Case Management		No
2	251C00000X	Day Training, Developmentally Disabled Services		No
3	251S00000X	Community/Behavioral Health		No
4	252Y00000X	Early Intervention Provider Agency		Yes
5	261QC1500X	Clinic/Center	Community Health	No
6	261QD1600X	Clinic/Center	Developmental Disabilities	No
7	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	No
8	261QM0850X	Clinic/Center	Adult Mental Health	No
9	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI

Next NPI