Healthcare Provider Details
I. General information
NPI: 1316833346
Provider Name (Legal Business Name): CORE CONNECTIONS, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/16/2025
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
897 YORKTOWNE DR
ROCKLEDGE FL
32955-8106
US
IV. Provider business mailing address
897 YORKTOWNE DR
ROCKLEDGE FL
32955-8106
US
V. Phone/Fax
- Phone: 321-541-1970
- Fax: 321-821-1378
- Phone: 321-541-1970
- Fax: 321-821-1378
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103K00000X |
| Taxonomy | Behavior Analyst |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MYRA
BENNETT
Title or Position: CEO/BCBA
Credential: BCBA
Phone: 615-556-5477