Organization
CREATING CHANGES THERAPY LLC
Active
Other names
Creating Changes Therapy LLC
Organization subpart
No
Provider details
NPI number
Authorized official
CARLOS A CARRILLO MA, BCBA (MGR)
(305) 992-2446
Entity
Organization
Contact information
Practice address
433 PLAZA REAL STE 275, BOCA RATON, FL 33432-3999
(305) 992-2446
Mailing address
433 PLAZA REAL STE 275, BOCA RATON, FL 33432-3999
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
04/27/2021
Last updated
04/27/2021
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