Coastal Behavior Analysis, LLC

NPI #1932408143 in Vero Beach, Florida

Provider Information

NPI Number: 1932408143
Entity Type: Organization
Organization Name: Coastal Behavior Analysis, LLC
Primary Specialty: Behavior Analyst
Enumeration Date: Mar 28, 2011
Last Updated: Jun 15, 2016

Practice Location

Address: 1515 INDIAN RIVER BLVD
Address 2: SUITE A210
City: Vero Beach
State: Florida
ZIP Code: 32960-5639
Phone: (774) 774-8224

Authorized Official

Name: MR. JOHN PIERCE KELLER JR., BCBA
Title: MANAGING MEMBER
Phone: (772) 713-0108

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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