Organization
CREATING CHANGES BEHAVIOR THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLOS CARRILLO (MANAGING MEMBER)
(305) 992-2446
Entity
Organization
Contact information
Practice address
18726 SW 351ST ST, HOMESTEAD, FL 33034-4509
(305) 992-2446
(786) 758-4348
Mailing address
18726 SW 351ST ST, HOMESTEAD, FL 33034-4509
(305) 992-2446
(786) 758-4348
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/29/2025
Last updated
01/12/2026
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