Alicia Nicole Cohen, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-24-74831 Issued in FL

Practice address

1501 Robert J Conlan Blvd NE Ste 120-10
Palm Bay, FL 32905-3502

Phone

(321) 677-2222

NPI assigned

Aug 15, 2024

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1723680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1215769419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "539 FRONDA AVE SW",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329081845",
            "telephone_number": "321-205-3195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 ROBERT J CONLAN BLVD NE STE 120-10",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329053502",
            "telephone_number": "321-677-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "ALICIA",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-15",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-24-74831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara Clutter, A.P., L.M.T.
• Cna Caring Hearts
• Coastal Mental Health Center Inc
• Coastal Visioncare LLC
• James William Cobb Jr., O.D.
• Robert Eric Cohen, M.D.
• Mark Steven Coican, DMD MS
• Barry Hillard Cole
• Lolona N Coleman, RN
• Coleman'S Compassionate Caregiver LLC

• Behavior Analyst in Palm Bay, FL
• Providers in Palm Bay, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.