Coastal Behavior Analysis, Llc

LBN: Coastal Behavior Analysis, Llc
Coastal Behavior Analysis, Llc is an health care organization with primary practice located at 1515 Indian River Blvd Suite A210, Vero Beach FL 32960-5639. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as the primary health care specialty. Coastal Behavior Analysis, Llc can be contacted via phone (774) 774-8224, or through Keller, John Pierce via phone (772) 713-0108.

Contact Information

Primary practice address
1515 Indian River Blvd Suite A210 Vero Beach FL 32960-5639
Phone: (774) 774-8224
Fax: (772) 774-8275
Website:
Map and Directions
Authorized official contact:
Name: Keller, John Pierce BCBA
Phone: (772) 713-0108

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1042028

Profile Details

NPI number 1932408143
LBN Legal business name Coastal Behavior Analysis, Llc
DBA Doing business as
Authorized official Keller, John Pierce BCBA
Entity Organization
Organization subpart 1 No
Enumeration date Mar 28th, 2011
Last updated Jun 15th, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932408143 NPPES
Florida MEDICAID 003810000

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