Healthcare Provider Details

I. General information

NPI: 1235059452
Provider Name (Legal Business Name): MONICA MCCREA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/17/2026
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

56 SW 5TH CT
POMPANO BEACH FL
33060-7908
US

IV. Provider business mailing address

361 E DAYTON CIR
FT LAUDERDALE FL
33312-1160
US

V. Phone/Fax

Practice location:
  • Phone: 954-643-6033
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT24380589
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: