NPIMap

Organization Active NPI

Emerald Coast Autism Center

  • Community/Behavioral Health Agency
  • Valparaiso, FL
National Provider Identifier
1255715074
Registry record updated Jul 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
11518965 Issued in FL
Legal business name
EMERALD COAST AUTISM CENTER
Practice address
315 Edge Ave
Valparaiso, FL 32580-1807
Phone
(850) 279-3000
Fax
(850) 389-2269
NPI assigned
Jul 10, 2015
Last updated
Jul 10, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2015

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

Authorized official

Name
Mrs. Staci Berryman, BCBA
Title
Executive Director
Phone
(850) 279-3000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 11518965 FL Primary

Addresses

Primary practice location

315 Edge Ave
Valparaiso, FL 32580-1807

Mailing address

315 Edge Ave
Valparaiso, FL 32580-1807
Phone (850) 279-3000

National Provider Directory

National Provider Directory
Tax ID family
Emerald Coast Autism Center6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1436486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436486400000",
    "number": "1255715074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 EDGE AVE",
            "city": "VALPARAISO",
            "state": "FL",
            "postal_code": "325801807",
            "telephone_number": "850-279-3000",
            "fax_number": "850-389-2269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 EDGE AVE",
            "city": "VALPARAISO",
            "state": "FL",
            "postal_code": "325801807",
            "telephone_number": "850-279-3000",
            "fax_number": "850-389-2269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERALD COAST AUTISM CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-10",
        "last_updated": "2015-07-10",
        "status": "A",
        "authorized_official_last_name": "BERRYMAN",
        "authorized_official_first_name": "STACI",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "850-279-3000",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "11518965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valparaiso, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2015; 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.