Organization Active NPI

A Core Connection Services and Consulting, LLC

  • Behavior Analyst
  • Longwood, FL
National Provider Identifier
1629647847
Registry record updated Aug 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
A CORE CONNECTION SERVICES AND CONSULTING, LLC
Practice address
2135 W State Road 434
Longwood, FL 32779-4983
Phone
(407) 789-2673
Fax
(407) 612-2359
NPI assigned
Jun 22, 2021
Last updated
Aug 23, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2023

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

Authorized official

Name
Kelly Greene
Title
Operations Director/Owner
Phone
(407) 639-4047

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X NU Primary

Addresses

Primary practice location

2135 W State Road 434
Longwood, FL 32779-4983

Mailing address

2135 W State Road 434
Longwood, FL 32779-4983
Phone (407) 789-2673

Other identifiers 1

IdentifierTypeStateIssuer
101145500MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
A Core Connection Services and Consulting LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1624320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692748800000",
    "number": "1629647847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2135 W STATE ROAD 434",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327794983",
            "telephone_number": "407-789-2673",
            "fax_number": "407-612-2359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2135 W STATE ROAD 434",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327794983",
            "telephone_number": "407-789-2673",
            "fax_number": "407-612-2359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A CORE CONNECTION SERVICES AND CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-22",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A",
        "authorized_official_last_name": "GREENE",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "OPERATIONS DIRECTOR/OWNER",
        "authorized_official_telephone_number": "407-639-4047"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101145500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Longwood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; 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.