Imrena Dedic, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-26-87039 Issued in FL

Practice address

5825 54TH Ave N
Kenneth City, FL 33709-1901

Phone

(727) 280-6643

NPI assigned

Apr 7, 2015

Last updated

Mar 3, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Creative Behavior Solutions, LLC

  • Behavior Analyst
  • Largo, FL
  • NPI 1003245275
  NPD (past)
• Creative Behavior Solutions, LLC

  • Behavior Analyst
  • Kenneth City, FL
  • NPI 1760136295
  NPD (past)

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

{
    "created_epoch": "1428364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1629464573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 110TH AVE N APT 1010",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337163155",
            "telephone_number": "904-338-2368",
            "fax_number": "305-846-9711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5825 54TH AVE N",
            "city": "KENNETH CITY",
            "state": "FL",
            "postal_code": "337091901",
            "telephone_number": "727-280-6643"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13777 Belcher Rd S # 201",
            "address_purpose": "LOCATION",
            "city": "Largo",
            "state": "FL",
            "postal_code": "337714096",
            "country_code": "US",
            "telephone_number": "727-280-6643",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEDIC",
        "first_name": "IMRENA",
        "name_prefix": "Miss",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-07",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-26-87039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colonial Care NH, L.L.C. (Lexington Health and Rehabilitation Center)
• Community Behavior Supports, Inc.
• Consultants in Infectious Diseases LLC
• Thomas Alan Cooper, MBA, MS, LMHC, CAP
• Creative Behavior Solutions, LLC
• Jeri Devale, PH.D
• Madhuri Duggirala
• Shamik Dwivedi, D.O., M.P.H.
• Eckerds Pharmacy LLC (Vistara Specialty Pharmacy)
• Eckerds Pharmacy LLC (Vistara Specialty Pharmacy)

• Behavior Analyst in Kenneth City, FL
• Providers in Kenneth City, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; 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.