COASTAL ABA, LLC (NPI# 1851800726) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851800726 |
| Entity Type | Organization |
| Organization Name | COASTAL ABA, LLC |
| Practice Address |
6001 41st Ave N St Petersburg FL 33709-5221 |
| Mailing Address |
3135 1st Ave N, Po Box 12844 St. Petersburg FL 33730 |
| Practice Telephone | 7276566045 |
| Practice Fax Number | 7276566045 |
| Mailing Telephone | 7279990583 |
| Mailing Fax Number | 8553062505 |
| Enumeration Date | 2017-09-23 |
| Last Update Date | 2017-09-23 |
| Authorized Official Name | LAUREN ALTMAN BRUM (OWNER, BEHAVIOR ANALYST) |
| Authorized Official Telephone | 7278883296 |
| Authorized Official Credential | BCBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 1073972451 | 05 | |
| FL | 1700266871 | 05 |
| Street Address |
6001 41ST AVE N |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33709-5221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770110637 | Mylien Le | Registered Nurse | 6001 49th Street North, St Petersburg, FL 33709 | 2020-03-23 |
| 1457885063 | Kamlesh Rajani | Pharmacist | 5985-b 49th Street North, Saint Petersburg, FL 33709 | 2017-04-20 |
| 1417382912 | Farhan Hooda | Internal Medicine | The Heart Institute, 6006 49th St. North, Ste. 200, St. Petersburg, FL 33709 | 2013-09-04 |
| 1558702605 | Walgreens | Clinic/Center | 3994 Tyrone Blvd, Saint Petersburg, FL 33709 | 2013-07-17 |
| 1437417607 | Jeri Devale | Social Worker | 6241 43rd Ter N, Kenneth City, FL 33709 | 2012-04-25 |
| 1528340643 | Steven E. Allbritton | Pharmacist | 5405 66th Street N., Saint Petersburg, FL 33709 | 2011-09-14 |
| 1043537335 | Milan Ravindra Patel | Internal Medicine | 3901 66th St N Ste 201, St Petersburg, FL 33709 | 2010-04-26 |
| 1134454713 | Eye Designs Optical and Vision Care, LLC | Optometrist | 3831 Tyrone Boulevard, St. Petersburg, FL 33709 | 2009-10-15 |
| 1487827069 | Jose Manuel Garcia | Dentist | 4911 Park Street North, St Petersburg, FL 33709 | 2008-04-04 |
| 1104097427 | Stanley D Grimmel | Chiropractor | 5670 54th Ave. N, A2, Saint Petersburg, FL 33709 | 2008-03-13 |
| Find all providers in zip 33709 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669966453 | Margaret Short | Behavioral Analyst | 5154 6th St N, St Petersburg, FL 33703-2936 | 2018-06-15 |
| 1760991335 | Nakaysha Pullen | Behavioral Analyst | 8950 Dr Martin Luther King St N Ste #190, St Petersburg, FL 33702 | 2017-09-26 |
| 1629590930 | Elizabeth Leigh Koehler | Behavioral Analyst | 551 12th Ave Ne Apt 2, St Petersburg, FL 33701-1331 | 2017-07-10 |
| 1962922195 | Emily Ann Markovich | Behavioral Analyst | 8950 Dr Martin Luther King St N Ste 170, St Petersburg, FL 33702-3001 | 2017-06-20 |
| 1295263556 | Andrea Marie Lewetag | Behavioral Analyst | 520 11th Ave N Apt 3, St Petersburg, FL 33701-1661 | 2017-05-31 |
| 1154868933 | Mary Margaret Barrett | Behavioral Analyst | 2600 Martin Luther King St N Ste 401, St Petersburg, FL 33704-2744 | 2017-01-31 |
| 1891232724 | Maura Reedy | Behavioral Analyst | 2600 Dr Martin Luther King Jr St N Ste 401, St Petersburg, FL 33704-2744 | 2017-01-30 |
| 1982141917 | Zoe Isabella Hay | Behavioral Analyst | 534 11th Ave N, St Petersburg, FL 33701-1610 | 2017-01-29 |
| 1841735784 | Lynn Zammit Wagner | Behavioral Analyst | 701 77th Ave N, Ste 56546, St Petersburg, FL 33702-5299 | 2017-01-02 |
| 1306381363 | Dominique Timothee | Behavioral Analyst | 4301 16th Street N, St Petersburg, FL 33703 | 2016-12-30 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33709 |
Please comment or provide details below to improve the information on COASTAL ABA, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.