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FIRST COAST AUTISM LLC NPI 1861821084


NPI Information

NPI: 1861821084
Provider Name: FIRST COAST AUTISM LLC

Former Legal Business Name: DAVID CALABRESE, BCBA, LLC

Classification: Behavior Analyst - 103K00000X
Entity Type: Organization

CLIA Number: 10D2031861

Address:
8 WILDWOOD LANE
PALM COAST, FL
ZIP 32137
Phone: (386) 227-6485
Get Directions

FIRST COAST AUTISM LLC is a behavior analyst in Palm Coast, FL. The provider is a behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. FIRST COAST AUTISM LLC NPI is 1861821084. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is David Calabrese, Bcba, Llc.

The provider's business location address is:

8 WILDWOOD LANE
PALM COAST, FL
ZIP 32137
Phone: (386) 227-6485
Fax: (866) 247-1790

The provider's authorized official is David Keith Calabrese .
The authorized official title is Behavior Analyst/president and has the following contact phone number (386) 227-6485.

The CLIA number assigned to this NPI record is 10D2031861 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/7/2013 and was last updated on 1/31/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103K00000XBehavior AnalystYes
2251S00000XCommunity/Behavioral Health1-12-11985FLORIDANo
3106E00000XAssistant Behavior AnalystNo
4106S00000XBehavior TechnicianNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1021072800MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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