Coaching Behavioral Alternatives Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

COACHING BEHAVIORAL ALTERNATIVES INC

Practice address

615 Riverview Blvd
Daytona Beach, FL 32118-3840

Phone

(386) 253-4131

NPI assigned

Nov 8, 2006

Last updated

May 3, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Patricia Marshall, MSW, BCBANPI 1942528377

Title

Behavior Analyst

Phone

(386) 253-4131

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Patricia Marshall, MSW, BCBA

  • Behavior Analyst
  • Daytona Beach, FL
  • NPI 1942528377
  NPD (past) Authorized official

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272844800000",
    "number": "1780754747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 RIVERVIEW BLVD",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321183840",
            "telephone_number": "386-253-4131",
            "fax_number": "386-947-9607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 RIVERVIEW BLVD",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321183840",
            "telephone_number": "386-253-4131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COACHING BEHAVIORAL ALTERNATIVES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2010-05-03",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "BEHAVIOR ANALYST",
        "authorized_official_telephone_number": "386-253-4131",
        "authorized_official_credential": "MSW, BCBA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "686939496",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "686939498",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kevin Ray Clemans, FNP-BC
• Miche Clement
• Clovis Ai
• CMS Daytona Beach
• Coa Home Care, LLC (COA In Home Services)
• Jennifer Ann Coady, M.D.
• Coast Florida P.a. (Coast Dental-Daytona)
• Coastal Center Operations LLC
• Coastal Mental Health Center Inc
• Coastal Spine and Sport of Daytona Beach

• Community/Behavioral Health Agency in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2010; 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.