Susan Ariel Creek

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

0-08-2516 Issued in FL

Practice address

1409 NW 6TH St Ste 120
Gainesville, FL 32601-2234

Phone

(352) 373-4411

Fax

(352) 373-4455

NPI assigned

May 6, 2011

Last updated

May 6, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1304640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304640000000",
    "number": "1275825424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4730 NW 25TH DR",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326051263",
            "telephone_number": "352-328-4724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 NW 6TH ST STE 120",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326012234",
            "telephone_number": "352-373-4411",
            "fax_number": "352-373-4455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CREEK",
        "first_name": "SUSAN",
        "middle_name": "ARIEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-06",
        "last_updated": "2011-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "0-08-2516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• CRC Surgical LLC
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• Lindsey Ann Taylor Creech, DO, MBA, MPH
• Margaret Ann Creegan, LMHC
• Gwenda Creel
• Wayne Lewis Creelman, MD
• Hector Carlos Crena, P.T.
• Jasmine Crenshaw, LCSW
• Crescent Healthcare, Inc. (Crescent Healthcare)

• Behavior Analyst in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2011; 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.