# COASTAL BEHAVIORAL THERAPY, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558492090
- **Authorized official:** MR. ISIDRO ZAVALETA MS, BCBA (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (321) 684-3334

## Contact information

- **Practice address:** 7145 TURNER RD STE 102, ROCKLEDGE, FL 32955-5723
- **Practice address phone:** (321) 684-3334
- **Practice address fax:** (321) 635-9171
- **Mailing address:** 7145 TURNER RD STE 102, ROCKLEDGE, FL 32955-5723
- **Mailing address phone:** (321) 684-3334
- **Mailing address fax:** (321) 635-9171

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101Y00000X | Counselor | — | — | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 103K00000X | Behavior Analyst | — | — | — |
| 106E00000X | Assistant Behavior Analyst | — | — | — |
| 235Z00000X | Speech-Language Pathologist | — | — | Yes |

## Other

- **Enumeration date:** 03/08/2007
- **Last updated:** 05/16/2025