Organization
COACHING BEHAVIORAL ALTERNATIVES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA MARSHALL MSW, BCBA (BEHAVIOR ANALYST)
(386) 253-4131
Entity
Organization
Contact information
Practice address
615 RIVERVIEW BLVD, DAYTONA BEACH, FL 32118-3840
(386) 253-4131
Mailing address
615 RIVERVIEW BLVD, DAYTONA BEACH, FL 32118-3840
(386) 253-4131
(386) 947-9607
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
686939496
—
FL
05
—
686939498
—
FL
Enumeration date
11/08/2006
Last updated
05/03/2010
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