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Organization
COSTON CARES AND CONSULTS, LLC
Active
Organization
COSTON CARES AND CONSULTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHEMECH PATTERSON BCBA (OWNER)
(904) 735-8319
Entity
Organization
Contact information
Practice address
5734 BRAIT AVE, JACKSONVILLE, FL 32209-2252
(904) 735-8319
Mailing address
5734 BRAIT AVE, JACKSONVILLE, FL 32209-2252
(904) 735-8319
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
Other
Enumeration date
10/19/2021
Last updated
10/28/2021
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