Creating a Difference LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

CREATING A DIFFERENCE LLC

Practice address

800 Cypress Blvd Apt 204
Pompano Beach, FL 33069-4078

Phone

(786) 301-7622

NPI assigned

Dec 26, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Diana Bencid, MS, BCBANPI 1134663305

Title

Sole Member

Phone

(786) 301-7622

Specialties & licenses 4

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Diana Bencid

  • Behavior Analyst
  • Pompano Beach, FL
  • NPI 1134663305
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1514246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514332800000",
    "number": "1104332394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 S POWERLINE RD # 248",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330693001",
            "telephone_number": "786-301-7622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 CYPRESS BLVD APT 204",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330694078",
            "telephone_number": "786-301-7622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATING A DIFFERENCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-26",
        "last_updated": "2017-12-27",
        "status": "A",
        "authorized_official_last_name": "BENCID",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "786-301-7622",
        "authorized_official_credential": "MS, BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-17-27747",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFICATION NUMBER FOR BCBA",
            "identifier": "1-17-27747",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019640300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emmy-Lou Crawford
• James Maurice Crawford, BSW
• Lisa Crawford
• Melissa Creary, RBT
• Olivia Creary, L.C.S.W.
• Creative Adventure Therapy Services
• Barbra Creech
• John B. Crescitelli, D.O.
• Brandy Lynn Crispino
• Rachel Cristo

• Community/Behavioral Health Agency in Pompano Beach, FL
• Providers in Pompano Beach, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.