Organization Active NPI

Creating Changes Behavior Therapy LLC

  • Behavior Analyst
  • Homestead, FL
National Provider Identifier
1669338125
Registry record updated Jan 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
CREATING CHANGES BEHAVIOR THERAPY LLC
Practice address
18726 SW 351St St
Homestead, FL 33034-4509
Phone
(305) 992-2446
Fax
(786) 758-4348
NPI assigned
Dec 29, 2025
Last updated
Jan 12, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2026

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

Authorized official

Name
Carlos CarrilloNPI 1326432139
Title
Managing Member
Phone
(305) 992-2446

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

18726 SW 351St St
Homestead, FL 33034-4509

Mailing address

18726 SW 351St St
Homestead, FL 33034-4509
Phone (305) 992-2446

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1766966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768176000000",
    "number": "1669338125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18726 SW 351ST ST",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330344509",
            "telephone_number": "305-992-2446",
            "fax_number": "786-758-4348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18726 SW 351ST ST",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330344509",
            "telephone_number": "305-992-2446",
            "fax_number": "786-758-4348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATING CHANGES BEHAVIOR THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-29",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A",
        "authorized_official_last_name": "CARRILLO",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "305-992-2446"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homestead, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.