Wellformed AI

NPI 1881263010 · live from the CMS NPI Registry

A Core Connection Services And Consulting, LLC

Community/Behavioral Health in Orlando, FL. National Provider Identifier 1881263010, active.

NPI record

NPI1881263010 Type 2 · organization
StatusActive
Primary specialtyCommunity/Behavioral Health 251S00000X
Practice location2884 S Osceola Ave, Orlando, FL 32806
Practice phone407-789-2673
Mailing address2135 W State Road 434, Longwood, FL 32779
EnumeratedJune 22, 2021
Last updatedOctober 14, 2024
Authorized officialKelly Greene, Owner

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Analyst103K00000X—
Community/Behavioral Health primary251S00000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.