Seacoast Behavior, LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-17-26403 Issued in AL

Legal business name

SEACOAST BEHAVIOR, LLC

Practice address

536 Shorebird Way
Imperial Beach, CA 91932

Phone

(757) 404-8176

NPI assigned

May 30, 2018

Organization subpart

No

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

Authorized official

Name

Malerie Gest

Title

Clinical Supervisor

Phone

(619) 836-0829

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1527638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528156800000",
    "number": "1962994525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "536 SHOREBIRD WAY",
            "city": "IMPERIAL BEACH",
            "state": "CA",
            "postal_code": "919322155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "536 SHOREBIRD WAY",
            "city": "IMPERIAL BEACH",
            "state": "CA",
            "postal_code": "91932",
            "telephone_number": "757-404-8176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEACOAST BEHAVIOR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-30",
        "last_updated": "2018-06-05",
        "status": "A",
        "authorized_official_last_name": "GEST",
        "authorized_official_first_name": "MALERIE",
        "authorized_official_title_or_position": "CLINICAL SUPERVISOR",
        "authorized_official_telephone_number": "619-836-0829"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "AL",
            "license": "1-17-26403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Imperial Beach, CA
• Providers in Imperial Beach, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2018; 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.