Organization Active NPI

Crecer Behavior Support , LLC

  • Behavior Analyst
  • Fort Lauderdale, FL
National Provider Identifier
1881401958
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
CRECER BEHAVIOR SUPPORT , LLC
Practice address
6750 N Andrews Ave Ste 2043
Ft Lauderdale, FL 33309-2173
Phone
(813) 784-3619
Fax
(813) 305-7033
NPI assigned
Dec 12, 2024
Organization subpart
Yes
Parent organization
CRECER BEHAVIOR SUPPORT, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 12, 2024

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

Authorized official

Name
Ileana De Cabo HernandezNPI 1598340135
Title
Owner
Phone
(813) 454-1463

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

6750 N Andrews Ave Ste 2043
Ft Lauderdale, FL 33309-2173

Mailing address

4307 W Bird St
Tampa, FL 33614-2507
Phone (813) 454-1463

National Provider Directory

National Provider Directory
Tax ID family
Crecer Behavior Support LLC2 organizations share this tax ID, including this one
Part of
Crecer Behavior Support LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6750 N Andrews Ave
Ste 2043
Ft Lauderdale, FL 33309
Phone (813) 784-3619

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1733961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733961600000",
    "number": "1881401958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4307 W BIRD ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336142507",
            "telephone_number": "813-454-1463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6750 N ANDREWS AVE STE 2043",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333092173",
            "telephone_number": "813-784-3619",
            "fax_number": "813-305-7033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRECER BEHAVIOR SUPPORT , LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CRECER BEHAVIOR SUPPORT, LLC",
        "enumeration_date": "2024-12-12",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A",
        "authorized_official_last_name": "DE CABO HERNANDEZ",
        "authorized_official_first_name": "ILEANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-454-1463"
    },
    "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 Fort Lauderdale, FL

Sources for this page

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

Verify at the official NPI Registry.