Creative Learning Inc.

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

CREATIVE LEARNING INC.

Practice address

453 King St
Cocoa, FL 32922-7621

Phone

(321) 633-5511

NPI assigned

Dec 1, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Kathryn Mendoza, BCBA,ED.D.NPI 1558735670

Title

Director

Phone

(321) 243-5284

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kathryn Mendoza, BCBA, ED.D.

  • Behavior Analyst
  • Cocoa, FL
  • NPI 1558735670
  NPD Authorized official

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

{
    "created_epoch": "1448928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601510400000",
    "number": "1811362999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "453 KING ST",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329227621",
            "telephone_number": "321-633-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "453 KING ST",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329227621",
            "telephone_number": "321-633-5511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE LEARNING INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-01",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A",
        "authorized_official_last_name": "MENDOZA",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "321-243-5284",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "BCBA,ED.D."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016568500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hanna Costa
• Fonya Cotman
• Marguerite C Cox
• Kevin Crawford, MSW
• Tracy Ann Crawford, LCSW
• Anavid Crespo
• Brandon Crissman, OTA
• Alyssa Crist, RBT
• Michael Crooks
• Crosswinds Youth Services

• Behavior Analyst in Cocoa, FL
• Providers in Cocoa, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2020; 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.