Coastal Rose ABA
Organization Active NPI Behavior Analyst · Freeport, FL
NPI 1548058985 · NPPES record last updated Apr 26, 2025
Key facts
- NPI
- 1548058985
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Behavior Analyst 103K00000X
- Legal business name
- COASTAL ROSE ABA
- Practice address
- 190 Riverwalk Blvd Apt F102
Freeport, FL 32439-1403 - Phone
- (302) 464-9666
- NPI assigned
- Apr 26, 2025
- Organization subpart
- No
Authorized official
- Name
- Cassandra Megahan, BCBA
- Title
- Owner
- Phone
- (302) 464-9666
Practitioners 1
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst |
103K00000X | Yes |
Addresses
Primary practice location
190 Riverwalk Blvd Apt F102
Freeport, FL 32439-1403
Mailing address
190 Riverwalk Blvd Apt F102
Freeport, FL 32439-1403
Other providers in Freeport, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 26, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.