Emerald Coast Kids Therapy Group LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

EMERALD COAST KIDS THERAPY GROUP LLC

Practice address

4944 Muldoon Pointe Rd
Pensacola, FL 32526-1924

Phone

(848) 350-5973

NPI assigned

Sep 17, 2025

Organization subpart

No

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

Authorized official

Name

Lisa Rader, BCBANPI 1649587643

Title

Director

Phone

(848) 350-5973

Specialties & licenses 3

Addresses

Locations

Practitioners 1

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

• Lisa Rader, BCBA

  • Behavior Analyst
  • Union, NJ
  • NPI 1649587643
  NPD Authorized official

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

{
    "created_epoch": "1758067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760313600000",
    "number": "1689545071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3523",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325163523",
            "telephone_number": "617-302-7272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4944 MULDOON POINTE RD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325261924",
            "telephone_number": "848-350-5973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERALD COAST KIDS THERAPY GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-17",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A",
        "authorized_official_last_name": "RADER",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "848-350-5973",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Emerald Coast Pediatric Primary Care, Inc
• Emerald Coast PM&R Associates, PA
• Emerald Coast Therapy Centers, Inc.
• Emerald Gardens Home Alf LLC

• Behavior Analyst in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2025; 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.