Active NPI
Crecer Behavior Support , LLC
- Behavior Analyst
- Fort Lauderdale, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- 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, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ileana De Cabo Hernandez
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 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 LLC
- 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.
-
- Behavior Analyst
- Tampa, FL
- NPI 1043083637
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.
-
- Behavior Analyst
- Tampa, FL
- NPI 1043083637
Practitioners & 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
- Tampa, FL
- NPI 1598340135
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.