Organization · NPI-2

Denali Crt, LLC

Behavior Analyst · Doral, FL

NPI number1326480872
StatusActive
Last updated in NPPESFeb 18, 2025

Details

NPI
1326480872
Entity type
Organization (NPI-2)
Legal business name
Denali Crt, LLC
Organization subpart
No
Enumeration date
Jul 25, 2013
Certification date
Feb 18, 2025
Last updated
Feb 18, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103K00000X Behavior Analyst0051701FLYes
101YM0800X Counselor, Mental HealthMH8888FL
163WC1600X Registered Nurse, Continuing Education/Staff Development––
163WH0200X Registered Nurse, Home Health––
172A00000X Driver––
251C00000X Day Training, Developmentally Disabled Services––
251J00000X Nursing Care––
343900000X Non-emergency Medical Transport (VAN)––
374U00000X Home Health Aide––
376J00000X Homemaker––
376K00000X Nurse's Aide––
385H00000X Respite Care––
385HR2055X Respite Care, Respite Care, Mental Illness, Child––
385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child––

Practice location

10200 Nw 25th St Ste 205
Doral, FL 33172-5922

Phone 305-602-0268 · Fax 954-477-7706

Mailing address

10200 Nw 25th St Ste 205
Doral, FL 33172-5922

Phone 305-602-0268 · Fax 954-477-7706

Other practice locations

3722 Central Ave Ste 4-5
Fort Myers, FL 33901-8247

Phone 239-202-0042 · Fax 954-477-7706

1860 Sw Fountainview Blvd # 1004
Port St Lucie, FL 34986-4535

Phone 772-877-0341 · Fax 772-404-7977

Authorized official

Karina Victoria Gomez
Executive Director
3056028074

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Behavior Analyst providers in Doral, FL