Coastal Rose Aba
Behavior Analyst in Freeport, FL. Organization (NPI-2).
NPI number1548058985
StatusActive
Last updated in NPPESApr 26, 2025
Details
- NPI
- 1548058985
- Entity type
- Organization (NPI-2)
- Legal business name
- Coastal Rose Aba
- Organization subpart
- No
- Enumeration date
- Apr 26, 2025
- Certification date
- Apr 26, 2025
- Last updated
- Apr 26, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | – | – | Yes |
Practice location
190 Riverwalk Blvd Apt F102Freeport, FL 32439-1403
Phone 302-464-9666
Mailing address
190 Riverwalk Blvd Apt F102Freeport, FL 32439-1403
Authorized official
Cassandra Megahan
Owner
3024649666
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