Creating Changes Therapy LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

CREATING CHANGES THERAPY LLC

Doing business as

Creating Changes Therapy LLC

Practice address

433 Plaza Real Ste 275
Boca Raton, FL 33432-3999

Phone

(305) 992-2446

NPI assigned

Apr 27, 2021

Last updated

Apr 27, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Carlos A Carrillo, MA, BCBANPI 1326432139

Title

MGR

Phone

(305) 992-2446

Specialties & licenses 1

Addresses

Other names 1

• Creating Changes Therapy LLC Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Carlos Alberto Carrillo, BCBA

  • Behavior Analyst
  • Homestead, FL
  • NPI 1326432139
  Authorized official Same address or phone

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

{
    "created_epoch": "1619481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619481600000",
    "number": "1245812379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 PLAZA REAL STE 275",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334323999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 PLAZA REAL STE 275",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334323999",
            "telephone_number": "305-992-2446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATING CHANGES THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-27",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-21",
        "status": "A",
        "authorized_official_last_name": "CARRILLO",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "305-992-2446",
        "authorized_official_credential": "MA, BCBA"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Creating Changes Therapy LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Craig Lustman DDS PA
• Steven M Cramer, D.M.D.
• Cranial Technologies Inc
• Juliana Costa Cravo
• Katherine Paige Crawford, DPT
• Creating Choices LLC
• Creating Difference Group LLC
• Creative Occupational Therapy Services, LLC
• Cref3 FSLP Boca Raton Owner LLC (Sonata Boca Raton)
• Dana Nicole Crescio

• Health Service Clinic/Center in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Health Service Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2021; 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.