Independent US Healthcare Provider Directory & Public Medical Database
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Active NPI 1811362999 Organization (Entity Type 2)

Creative Learning Inc.

Behavior Analyst • Cocoa, FL

About Creative Learning Inc. NPI 1811362999 Summary

Creative Learning Inc. is a verified healthcare organization specializing in Behavior Analyst operating in Cocoa, FL. Located at 453 KING ST, this facility provides patient care and medical services under National Provider Identifier (NPI) 1811362999.

Administrative operations and authorized compliance are overseen by Kathryn Mendoza (Director).

The facility is associated with 20 linked healthcare practitioners providing clinical services.

Facility Location & Contact Primary Location

Facility Address

453 King St

Cocoa, FL 329227621

Telephone 3216335511

Authorized Official Information

Authorized Contact Name

DR. Kathryn Mendoza , BCBA,ED.D.

Title / Role

Director

Official Telephone

3212435284

Facility Classifications & Specialties

Behavior Analyst Primary Taxonomy

NUCC Taxonomy Code: 103K00000X

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Affiliated Practitioners & Clinicians

Healthcare professionals and specialists practicing at this facility or affiliated group locations

20 Linked

Behavior Analyst

Cocoa, FL

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Behavior Analyst

Cocoa, FL

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Behavior Technician

Cocoa, FL

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Sharon Reyes NPI 1114379260

Behavior Analyst

Cocoa, FL

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Derek Milligan NPI 1164842654

Behavior Analyst

Cocoa, FL

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Behavior Analyst

Cocoa, FL

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Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

7 Historical Events
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Medical Taxonomy / Specialty Registered (Primary Specialty) October 01, 2020

Behavior Analyst

NPI Profile Active July 13, 2016

NPI status registered as active in NPPES database

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Updated Practice Location July 13, 2016

Registered at 453 KING ST, COCOA, FL 329227621 (Tel: 3216335511)

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Updated Business Mailing Address July 13, 2016

Registered at 453 KING ST, COCOA, FL 329227621 (Tel: 3216335511)

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Organization / Clinic Name Updated July 13, 2016

Operating as CREATIVE LEARNING INC.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 13, 2016

Behavior Analyst (License #RBT-15-06944 in None)

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Initial NPI Registration & Enumeration December 01, 2015

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

Verified patient ratings, healthcare experiences, and facility photos

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NPI Organization Metadata

NPI Number: 1811362999
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: December 01, 2015
Last Update: October 01, 2020

Mailing Address

453 King St

Cocoa, FL 329227621

Phone: 3216335511

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.