NPIMap

Organization Active NPI

Coastal Autism Therapy Center, Inc.

  • Community/Behavioral Health Agency
  • Pooler, GA
National Provider Identifier
1447488945
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
COASTAL AUTISM THERAPY CENTER, INC.
Practice address
110 Pipemakers Cir Ste 116
Pooler, GA 31322-4168
Phone
(912) 330-7171
Fax
(888) 413-4567
NPI assigned
Jun 23, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2026

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

Authorized official

Name
Crystal Ford, APRN-BC, BCBA, LBANPI 1306951983
Title
Ceo
Phone
(912) 507-1553

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

110 Pipemakers Cir Ste 116
Pooler, GA 31322-4168

Mailing address

110 Pipemakers Cir Ste 116
Pooler, GA 31322-4168
Phone (912) 507-1553

National Provider Directory

National Provider Directory

Locations

110 Pipemakers Cir
Ste 116
Pooler, GA 31322
Phone (912) 330-7171

130 Canal St
Ste 101
Pooler, GA 31322

Practitioners & affiliated clinicians

Practitioners 25

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1245715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778457600000",
    "number": "1447488945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 PIPEMAKERS CIR STE 116",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313224168",
            "telephone_number": "912-507-1553",
            "fax_number": "888-413-4567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 PIPEMAKERS CIR STE 116",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313224168",
            "telephone_number": "912-330-7171",
            "fax_number": "888-413-4567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL AUTISM THERAPY CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-23",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "912-507-1553",
        "authorized_official_credential": "APRN-BC, BCBA, LBA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pooler, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2026; 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.