LIFETIME CHANGES BEHAVIOR SERVICES LLC
NPI 1578182770
Early Intervention Provider Agency in Staten Island, NY

Q: What is Lifetime Changes Behavior Services LLC's specialty?

The primary specialty registered for this NPI is Early Intervention Provider Agency with taxonomy code 252Y00000X.

Active since April 09, 2020

683 HENDERSON AVE STE A, STATEN ISLAND, NY 10310(929) 256-0231(718) 732-2628 Get Directions Write a Review

NPPES record last updated: May 25, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 25, 2021, Sep 16, 2020, Apr 9, 2020 (3 updates tracked since 2020).

On this page

About Lifetime Changes Behavior Services Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIFETIME CHANGES BEHAVIOR SERVICES LLC (NPI 1578182770) is a healthcare organization registered as an early intervention provider agency in Staten Island, New York and active in the NPI registry since April 2020. The organization maintains a secondary practice location in Staten Island and lists Dana Van Dyke, Owner/program Director, as its authorized official.

NPPES Registry Identity

NPI1578182770

Entity TypeOrganization

Primary Taxonomy252Y00000X

Legal Business NameLIFETIME CHANGES BEHAVIOR SERVICES LLC

Location Address683 HENDERSON AVE STE AStaten Island, NY 10310-1575

Mailing Address683 Henderson Ave Ste AStaten Island, NY 10310-1575 · (929) 256-0231

Phone(929) 256-0231

Fax(718) 732-2628

Organization SubpartNo

Authorized OfficialDana Van DykeOwner/program Director · (929) 256-0231

Enumeration DateApril 9, 2020

Last NPPES UpdateMay 25, 20213 updates tracked since enumeration

NPPES CertifiedMay 25, 2021

✔ NPI 1578182770 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 9

★ Primary SpecialtyEarly Intervention Provider AgencyAgencies

Taxonomy Code252Y00000X

Definition

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.

Also ListedCase ManagementTaxonomy 251B00000X

Also ListedDay Training, Developmentally Disabled ServicesTaxonomy 251C00000X

Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X

Also ListedClinic/Center · Community HealthTaxonomy 261QC1500X

Also ListedClinic/Center · Developmental DisabilitiesTaxonomy 261QD1600X

Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X

Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X

Also ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X

683 HENDERSON AVE STE A, Staten Island, NY 10310

Open in Google Maps ↗

Secondary Practice Location 1

Location 120 Cowen Pl Fl 1Staten Island, NY 10303-2012 · Phone (929) 256-0231

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lifetime Changes Behavior Services LLC's NPI number?

The NPI number for Lifetime Changes Behavior Services LLC is 1578182770. It was assigned to this organization in the NPPES registry on April 9, 2020.

Where is Lifetime Changes Behavior Services LLC located?

Lifetime Changes Behavior Services LLC is located at 683 Henderson Ave Ste A, Staten Island, NY 10310. The listed phone number is (929) 256-0231.

What is Lifetime Changes Behavior Services LLC's specialty?

The primary specialty registered for this NPI is Early Intervention Provider Agency with taxonomy code 252Y00000X.

When was this NPI record last updated?

The NPPES record for Lifetime Changes Behavior Services LLC was last updated on May 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.