| Creating A Difference Llc | |
|
800 Cypress Blvd Apt 204 Pompano Beach FL 33069-4078 | |
| (786) 301-7622 | |
| Not Available |
| Full Name | Creating A Difference Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 800 Cypress Blvd Apt 204, Pompano Beach, Florida |
| Authorized Official Name and Position | Diana Bencid (SOLE MEMBER) |
| Authorized Official Contact | 7863017622 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creating A Difference Llc 43 S Powerline Rd # 248 Pompano Beach FL 33069-3001 Ph: (786) 301-7622 | Creating A Difference Llc 800 Cypress Blvd Apt 204 Pompano Beach FL 33069-4078 Ph: (786) 301-7622 |
| NPI Number | 1104332394 |
|---|---|
| Provider Enumeration Date | 12/26/2017 |
| Last Update Date | 12/27/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104332394 | NPI | - | NPPES |
| 1-17-27747 | Other | FL | CERTIFICATION NUMBER FOR BCBA |
| 019640300 | Medicaid | FL |
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