Gulf Coast Behavioral Health LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

GULF COAST BEHAVIORAL HEALTH LLC

Practice address

4075 Lagoon Ter
North Port, FL 34286-7646

Phone

(941) 416-4338

NPI assigned

Mar 21, 2024

Organization subpart

No

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

Authorized official

Name

Mrs. Stacey Santagata, BCBANPI 1750738746

Title

Manager

Phone

(941) 416-4338

Specialties & licenses 1

Addresses

Practitioners 1

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

• Stacey Santagata, BCBA

  • Behavior Analyst
  • North Port, FL
  • NPI 1750738746
  NPD Authorized official

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

{
    "created_epoch": "1710979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710979200000",
    "number": "1912767336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4075 LAGOON TER",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342867646",
            "telephone_number": "941-416-4338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4075 LAGOON TER",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342867646",
            "telephone_number": "941-416-4338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF COAST BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-21",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A",
        "authorized_official_last_name": "SANTAGATA",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "941-416-4338",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Guardian Pharmacy of Southwest Florida LLC (Patient Care Pharmacy Services)
• Jordan Alexus Guido-Carrillo, PA-C
• Mia Guild
• Rachna Gulati, M.D.
• Gulf Breeze Behavior Analytic Services and Consultation LLC (Gulf Breeze ABA)
• Gulf Coast Hma Physician Management LLC (Gulf Coast Medical Group North Port Primary Care)
• Gulf Coast Hma Physician Management LLC (GCMG-North Port)
• Gulf Coast Hma Physician Management LLC (GCMG-Eric Reintsema, MD)
• Gulf Coast Practitioners LLC
• Lisa Beth Gussin, LMHC

• Behavior Analyst in North Port, FL
• Providers in North Port, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.

Verify at the official NPI Registry.