Active NPI
KCC Health Care
- Behavior Analyst
- Pinellas Park, FL
National Provider Identifier
1700379252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Legal business name
- KCC HEALTH CARE
- Practice address
- 6371 76TH Ave N
Pinellas Park, FL 33781-3153 - Phone
- (727) 258-4847
- NPI assigned
- Jun 10, 2018
- 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
- Karelia Carralero Corella
- Title
- Onwer
- Phone
- (786) 663-5171
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary | ||
| Physical Medicine & Rehabilitation Physician | 208100000X | MA60371 | FL |
Addresses
Primary practice location
6371 76TH Ave N
Pinellas Park, FL 33781-3153
Mailing address
6371 76TH Ave N
Pinellas Park, FL 33781-3153
Phone (727) 258-4847
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Behavior Analyst
- St Petersburg, FL
- NPI 1467093740
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528588800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1718323200000",
"number": "1700379252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6371 76TH AVE N",
"city": "PINELLAS PARK",
"state": "FL",
"postal_code": "337813153",
"telephone_number": "727-258-4847"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6371 76TH AVE N",
"city": "PINELLAS PARK",
"state": "FL",
"postal_code": "337813153",
"telephone_number": "727-258-4847"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KCC HEALTH CARE",
"organizational_subpart": "NO",
"enumeration_date": "2018-06-10",
"last_updated": "2024-06-14",
"certification_date": "2024-06-14",
"status": "A",
"authorized_official_last_name": "CARRALERO CORELLA",
"authorized_official_first_name": "KARELIA",
"authorized_official_title_or_position": "ONWER",
"authorized_official_telephone_number": "786-663-5171"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
},
{
"code": "208100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": "FL",
"license": "MA60371",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pinellas Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.