CREATING A DIFFERENCE LLC NPI 1104332394

NPI Information

NPI: 1104332394
Provider Name: CREATING A DIFFERENCE LLC
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address: 800 CYPRESS BLVD APT 204
POMPANO BEACH, FL
ZIP 33069
Phone: (786) 301-7622

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NPI Details

CREATING A DIFFERENCE LLC is a community behavioral health in Pompano Beach, FL. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. CREATING A DIFFERENCE LLC NPI is 1104332394. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

800 CYPRESS BLVD APT 204
POMPANO BEACH, FL
ZIP 33069-078
Phone: (786) 301-7622

The provider's authorized official is Diana Bencid .
The authorized official title is Sole Member and has the following contact phone number (786) 301-7622.

The enumeration date for this NPI number is 12/26/2017 and was last updated on 12/27/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103K00000X	Behavior Analyst		1-17-27747	FLORIDA	No
2	261QD1600X	Clinic/Center	Developmental Disabilities			No
3	261QM0855X	Clinic/Center	Adolescent and Children Mental Health			No
4	251S00000X	Community/Behavioral Health				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	019640300	MEDICAID	FLORIDA
2	1-17-27747	OTHER	FLORIDA	CERTIFICATION NUMBER FOR BCBA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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