Active NPI
Zathalithia Coke
- Behavior Technician
- Palm City, FL
National Provider Identifier
1679260764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-23-270279
- Practice address
- 1532 SW Mapp Rd
Palm City, FL 34990-2446 - Phone
- (772) 678-6704
- NPI assigned
- Apr 19, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-23-270279 | FL | Primary |
Addresses
Primary practice location
1532 SW Mapp Rd
Palm City, FL 34990-2446
Mailing address
1532 SW Mapp Rd
Palm City, FL 34990-2446
Phone (772) 678-6704
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 117913300 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-23-270279 | FL | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CMM ABA, LLC | Behavior Technician | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724284800000",
"number": "1679260764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1532 SW MAPP RD",
"city": "PALM CITY",
"state": "FL",
"postal_code": "349902446",
"telephone_number": "772-678-6704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1532 SW MAPP RD",
"city": "PALM CITY",
"state": "FL",
"postal_code": "349902446",
"telephone_number": "772-678-6704"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COKE",
"first_name": "ZATHALITHIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-04-19",
"last_updated": "2024-08-22",
"certification_date": "2024-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT-23-270279",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "117913300",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Palm City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.