Organization
CREATIVE KIDS THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CRISTINA MARIA MARQUEZ (PRESIDENT)
(786) 432-5099
Entity
Organization
Contact information
Practice address
5901 NW 151ST ST STE 124, MIAMI LAKES, FL 33014-2454
(786) 432-5099
(786) 432-5100
Mailing address
5901 NW 151ST ST STE 124, MIAMI LAKES, FL 33014-2454
(786) 432-5099
(786) 432-5100
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
252Y00000X
Early Intervention Provider Agency
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104541800
—
FL
Enumeration date
10/10/2019
Last updated
03/24/2025
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