Healthcare Provider Details

I. General information

NPI: 1003535907
Provider Name (Legal Business Name): CREATIVE MINDS ABA SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2022
Last Update Date: 11/03/2025
Certification Date: 11/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4855 W HILLSBORO BLVD STE B12
COCONUT CREEK FL
33073-4365
US

IV. Provider business mailing address

4855 W HILLSBORO BLVD STE B12
COCONUT CREEK FL
33073-4365
US

V. Phone/Fax

Practice location:
  • Phone: 754-399-8507
  • Fax:
Mailing address:
  • Phone: 754-399-8507
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name: MONICA PIERRE LOUIS
Title or Position: OWNER
Credential:
Phone: 305-305-3181