Organization
CREATING DIFFERENCE GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA BENCID BCBA (DIRECTOR)
(786) 203-0284
Entity
Organization
Contact information
Practice address
1825 NW CORPORATE BLVD STE 110, BOCA RATON, FL 33431-8554
(786) 203-0284
Mailing address
1825 NW CORPORATE BLVD STE 110, BOCA RATON, FL 33431-8554
(786) 203-0284
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/11/2020
Last updated
03/11/2020
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