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Organization
COASTAL BEHAVIORAL THERAPY, INC
Active
Organization
COASTAL BEHAVIORAL THERAPY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ISIDRO ZAVALETA MS, BCBA (EXECUTIVE DIRECTOR)
(321) 684-3334
Entity
Organization
Contact information
Practice address
7145 TURNER RD STE 102, ROCKLEDGE, FL 32955-5723
(321) 684-3334
(321) 635-9171
Mailing address
7145 TURNER RD STE 102, ROCKLEDGE, FL 32955-5723
(321) 684-3334
(321) 635-9171
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
—
—
106E00000X
Assistant Behavior Analyst
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
03/08/2007
Last updated
05/16/2025
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