IndividualActive
Imrena Dedic, BCBA
NPI 1629464573 · Behavior Analyst · Kenneth City, FL
Provider details
- NPI number
- 1629464573
- Entity type
- Individual
- Primary specialty
- Behavior AnalystBehavioral Health & Social Service Providers
- Credential
- BCBA
- Sex
- Female
- Sole proprietor
- No
- License
- 1-26-87039 (FL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5825 54th Ave N
Kenneth City, FL 33709-1901
Phone: (727) 280-6643
Street-level locationGet directions
Mailing address
500 110th Ave N Apt 1010
Saint Petersburg, FL 33716-3155
Additional practice locations (1)
- 13777 Belcher Rd S # 201Largo, FL 33771-4096Phone: (727) 280-6643
Registry dates
- Enumerated
- 2015-04-07
- Last updated
- 2026-03-03
- Certified
- 2026-03-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.