Healthcare Provider Details

I. General information

NPI: 1164337747
Provider Name (Legal Business Name): BRICK CITY FAMILY CONSULTING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2929 NE 14TH AVE
OCALA FL
34479-3307
US

IV. Provider business mailing address

2929 NE 14TH AVE
OCALA FL
34479-3307
US

V. Phone/Fax

Practice location:
  • Phone: 239-822-1142
  • Fax:
Mailing address:
  • Phone: 239-822-1142
  • 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: EDWARD CERWINSKY
Title or Position: OWNER
Credential: BCBA
Phone: 239-822-1142