A Core Connection Services and Consulting, LLC
Organization Active NPI Community/Behavioral Health Agency · Orlando, FL
NPI 1881263010 · NPPES record last updated Oct 14, 2024
Key facts
- NPI
- 1881263010
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- A CORE CONNECTION SERVICES AND CONSULTING, LLC
- Practice address
- 2884 S Osceola Ave
Orlando, FL 32806-5431 - Phone
- (407) 789-2673
- Fax
- (407) 612-2359
- NPI assigned
- Jun 22, 2021
- Organization subpart
- No
Authorized official
- Name
- Kelly Greene
- Title
- Owner
- Phone
- (407) 639-4047
Corporate family (same tax ID) 2
Practitioners 3
-
Kim-Thao Thi Ngo, RBT
National Provider Directory
- Tax ID family
- A Core Connection Services and Consulting LLC
Locations
2748 S Fern Creek Ave
Orlando, FL 32806
Phone (407) 580-2917
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst |
103K00000X | |||
| Community/Behavioral Health Agency | 251S00000X | Yes |
Addresses
Primary practice location
2884 S Osceola Ave
Orlando, FL 32806-5431
Mailing address
2135 W State Road 434
Longwood, FL 32779-4983
Phone (407) 789-2673
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101145501 | Medicaid | FL |
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 14, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.