Active NPI
Denali CRT, LLC
- Behavior Analyst
- Doral, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 0051701
- Legal business name
- DENALI CRT, LLC
- Practice address
- 10200 NW 25TH St Ste 205
Doral, FL 33172-5922 - Phone
- (305) 602-0268
- Fax
- (954) 477-7706
- NPI assigned
- Jul 25, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Karina Victoria Gomez
- Title
- Executive Director
- Phone
- (305) 602-8074
Specialties & licenses 14
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH8888 | FL | |
| Behavior Analyst | 103K00000X | 0051701 | FL | Primary |
| Continuing Education/Staff Development Registered Nurse | 163WC1600X | |||
| Home Health Registered Nurse | 163WH0200X | |||
| Driver | 172A00000X | |||
| Developmentally Disabled Services Day Training Agency | 251C00000X | |||
| Nursing Care Agency | 251J00000X | |||
| Non-emergency Medical Transport (VAN) | 343900000X | |||
| Home Health Aide | 374U00000X | |||
| Homemaker | 376J00000X | |||
| Nurse's Aide | 376K00000X | |||
| Respite Care | 385H00000X | |||
| Child Mental Illness Respite Care | 385HR2055X | |||
| Child Intellectual and/or Developmental Disabilities Respite Care | 385HR2060X |
Addresses
Primary practice location
10200 NW 25TH St Ste 205
Doral, FL 33172-5922
Mailing address
10200 NW 25TH St Ste 205
Doral, FL 33172-5922
Phone (305) 602-0268
Other practice location 1
3722 Central Ave Ste 4-5
Fort Myers, FL 33901-8247
Phone (239) 202-0042
Other practice location 2
1860 SW Fountainview Blvd # 1004
Port St Lucie, FL 34986-4535
Phone (772) 877-0341
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 017511700 | Medicaid | FL | |
| 693385896 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
10200 NW 25th St
Ste 205
Doral, FL 33172
Phone (305) 602-8073
3722 Central Ave
Ste 45
Fort Myers, FL 33901
Phone (239) 202-0042
1860 SW Fountainview Blvd
#1004
Port St Lucie, FL 34986
Phone (772) 877-0341
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Behavior Technician
- Doral, FL
- NPI 1104593391
-
- Mental Health Counselor
- Doral, FL
- NPI 1659519791
-
- Behavior Analyst
- Miami, FL
- NPI 1316398530
-
- Behavior Analyst
- Immokalee, FL
- NPI 1043974983
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374710400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1739836800000",
"number": "1326480872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10200 NW 25TH ST STE 205",
"city": "DORAL",
"state": "FL",
"postal_code": "331725922",
"telephone_number": "305-602-0268",
"fax_number": "954-477-7706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10200 NW 25TH ST STE 205",
"city": "DORAL",
"state": "FL",
"postal_code": "331725922",
"telephone_number": "305-602-0268",
"fax_number": "954-477-7706"
}
],
"practiceLocations": [
{
"address_1": "3722 Central Ave Ste 4-5",
"address_purpose": "LOCATION",
"city": "Fort Myers",
"state": "FL",
"postal_code": "339018247",
"country_code": "US",
"telephone_number": "239-202-0042",
"fax_number": "954-477-7706",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1860 SW Fountainview Blvd # 1004",
"address_purpose": "LOCATION",
"city": "Port St Lucie",
"state": "FL",
"postal_code": "349864535",
"country_code": "US",
"telephone_number": "772-877-0341",
"fax_number": "772-404-7977",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "DENALI CRT, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-07-25",
"last_updated": "2025-02-18",
"certification_date": "2025-02-18",
"status": "A",
"authorized_official_last_name": "GOMEZ",
"authorized_official_first_name": "KARINA",
"authorized_official_middle_name": "VICTORIA",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "305-602-8074"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH8888",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": "FL",
"license": "0051701",
"primary": true
},
{
"code": "163WC1600X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Continuing Education/Staff Development",
"state": null,
"license": null,
"primary": false
},
{
"code": "163WH0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "172A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Driver",
"state": null,
"license": null,
"primary": false
},
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": false
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": false
},
{
"code": "376J00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Homemaker",
"state": null,
"license": null,
"primary": false
},
{
"code": "376K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse's Aide",
"state": null,
"license": null,
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "385HR2055X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Mental Illness, Child",
"state": null,
"license": null,
"primary": false
},
{
"code": "385HR2060X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "017511700",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "693385896",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Doral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.