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Organization
CREATIVE ISLAND THERAPY, LLC
Active
Organization
CREATIVE ISLAND THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORINDA JEANNE ROY MORENO BCBA (OWNER/MANAGER)
(239) 235-0522
Entity
Organization
Contact information
Practice address
3384 WOODS EDGE CIR STE 104, BONITA SPRINGS, FL 34134-1367
(239) 235-0522
(239) 235-0512
Mailing address
1212 NUUANU AVE, HONOLULU, HI 96817-4021
(239) 235-0522
(808) 752-4155
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/20/2021
Last updated
10/11/2025
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