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Crystal Lake Supportive Environments

Behavior Analyst in Orlando, FL · enumerated 2013 · authorized official Craig Cook, Executive Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1932535184

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Registry record

Entity type Organization (Type 2)
Legal business name Crystal Lake Supportive Environments
Other name <Unavail>
Practice address 2710 Staten Ave, Suite A, Orlando, FL, 32804
Phone (407) 965-3018
Fax (877) 690-2003
Enumeration date Sep 19, 2013
Last updated in NPPES Nov 18, 2013

Taxonomy & classification

103K00000X Behavior Analyst Behavioral Health & Social Service Providers Primary

Authorized official

Name Craig Cook
Title Executive Director
Phone (407) 965-3055

Other identifiers

Identifier Type State Issuer
671009396 Medicaid FL -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Crystal Lake Supportive Environments?
Crystal Lake Supportive Environments is registered in NPPES as a Behavior Analyst (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-11-18.