Emerald Coast Autism Center
Organization Active NPI Community/Behavioral Health Agency · Niceville, FL
NPI 1972030617 · NPPES record last updated May 12, 2017
Key facts
- NPI
- 1972030617
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- License
- 0177772 (FL)
- Legal business name
- EMERALD COAST AUTISM CENTER
- Practice address
- 80 College Blvd E
Niceville, FL 32578-1343 - Phone
- (850) 279-3000
- Fax
- (850) 389-2269
- NPI assigned
- May 12, 2017
- Organization subpart
- No
Authorized official
- Name
- Beth Leeper
- Title
- Office Manager
- Phone
- (850) 279-3000
Corporate family (same tax ID) 5
Practitioners 132
-
Falynn Baheth, LMSW
-
Adrianna Berrios, RBT
-
Melissa Blizzard, BCBA
-
Sarah Boyles, BCABA
-
Baylee Campanella, BCBA
-
Kelly Conlan, BCBA
-
Lindsey Daffin, BCABA
-
Lauren Desjardin, BCBA
-
Haleigh R Dutton, BCBA
National Provider Directory
- Tax ID family
- Emerald Coast Autism Center
Locations
80 College Blvd E
Niceville, FL 32578
Phone (850) 279-3000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 0177772 | FL | Yes |
Addresses
Primary practice location
80 College Blvd E
Niceville, FL 32578-1343
Mailing address
80 College Blvd E
Niceville, FL 32578-1343
Phone (850) 279-3000
Other providers in Niceville, FL
- Jillian E. Ellison
- Kristi Kay Elston
- Em Strength Corp PA
- Emerald Coast Autism Center
- Emerald Coast Autism Center
- Emerald Coast Children'S Advocacy Center Inc.
- Emerald Coast Chiropractic Inc
- Emerald Coast Emergency Physicians LLP
- Emerald Coast Health Institute, Inc.
- Emerald Coast Lifecare, Inc.
All providers in Niceville, FL · Community/Behavioral Health Agency in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 12, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.