Healthcare Provider Details

I. General information

NPI: 1003740226
Provider Name (Legal Business Name): IMAGINE ACHIEVEMENT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2026
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7305 SW 19TH PL
OCALA FL
34474-1747
US

IV. Provider business mailing address

7305 SW 19TH PL
OCALA FL
34474-1747
US

V. Phone/Fax

Practice location:
  • Phone: 949-357-8912
  • Fax: 949-357-8912
Mailing address:
  • Phone: 949-357-8912
  • Fax: 949-357-8912

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: MS. CRISTINE MARIE MACDUFFEE-RAINER
Title or Position: DIRECTOR
Credential: MACDUFFEE-RAINER
Phone: 949-357-8912