| Creative Learning Inc. | |
|
453 King St Cocoa FL 32922-7621 | |
| (321) 633-5511 | |
| Not Available |
| Full Name | Creative Learning Inc. |
|---|---|
| Speciality | Behavior Analyst |
| Location | 453 King St, Cocoa, Florida |
| Authorized Official Name and Position | Kathryn Mendoza (DIRECTOR) |
| Authorized Official Contact | 3212435284 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creative Learning Inc. 453 King St Cocoa FL 32922-7621 Ph: (321) 633-5511 | Creative Learning Inc. 453 King St Cocoa FL 32922-7621 Ph: (321) 633-5511 |
| NPI Number | 1811362999 |
|---|---|
| Provider Enumeration Date | 12/01/2015 |
| Last Update Date | 10/01/2020 |
| Certification Date | 10/01/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811362999 | NPI | - | NPPES |
| 016568500 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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