Cassandra Danielle Creech, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-23-277285 Issued in FL

Practice address

5830 US Highway 1 Ste 104
Rockledge, FL 32955-5704

Phone

(321) 609-9007

NPI assigned

Jun 6, 2023

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

State licenses

Practice roles

Locations

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

• Kaleidoscope Interventions

  • Behavior Analyst
  • Melbourne, FL
  • NPI 1902200116
  NPD

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

{
    "created_epoch": "1686009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686009600000",
    "number": "1871287490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11050 NE 36TH AVE",
            "city": "ANTHONY",
            "state": "FL",
            "postal_code": "326173048",
            "telephone_number": "810-706-2310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5830 US HIGHWAY 1 STE 104",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329555704",
            "telephone_number": "321-609-9007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CREECH",
        "first_name": "CASSANDRA",
        "middle_name": "DANIELLE",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-06",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-23-277285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Candace Jean Cowan, M.S.
• Olivia K Cox, OTR/L
• Joanna Crane
• Robert L Cravens, LMHC
• Crayton Mitchell Group (Space Coast Community Pharmacy)
• Crescent Coast Neurology, L.L.C.
• Crestcare Rehabilitation PLLC
• Joyce A Crisafulli
• CRM of Florida, Inc
• Michael Drake Cromwell

• Behavior Technician in Rockledge, FL
• Providers in Rockledge, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.