| Creative Kids Therapy Inc | |
|
5901 Nw 151st St Ste 124 Miami Lakes FL 33014-2454 | |
| (786) 432-5099 | |
| (786) 432-5100 |
| Full Name | Creative Kids Therapy Inc |
|---|---|
| Speciality | Clinic/center |
| Location | 5901 Nw 151st St Ste 124, Miami Lakes, Florida |
| Authorized Official Name and Position | Cristina Maria Marquez (PRESIDENT) |
| Authorized Official Contact | 7864325099 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creative Kids Therapy Inc 5901 Nw 151st St Ste 124 Miami Lakes FL 33014-2454 Ph: (786) 432-5099 | Creative Kids Therapy Inc 5901 Nw 151st St Ste 124 Miami Lakes FL 33014-2454 Ph: (786) 432-5099 |
| NPI Number | 1942842968 |
|---|---|
| Provider Enumeration Date | 10/10/2019 |
| Last Update Date | 03/24/2025 |
| Certification Date | 03/24/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942842968 | NPI | - | NPPES |
| 104541800 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (NU) | Primary |
| 252Y00000X | Early Intervention Provider Agency | (NU) | Secondary |
| 103K00000X | Behavior Analyst | (NU) | Secondary |
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