| Coastal Rose Aba | |
|
190 Riverwalk Blvd Apt F102 Freeport FL 32439-1403 | |
| (302) 464-9666 | |
| Not Available |
| Full Name | Coastal Rose Aba |
|---|---|
| Speciality | Behavior Analyst |
| Location | 190 Riverwalk Blvd Apt F102, Freeport, Florida |
| Authorized Official Name and Position | Cassandra Megahan (OWNER) |
| Authorized Official Contact | 3024649666 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Rose Aba 190 Riverwalk Blvd Apt F102 Freeport FL 32439-1403 Ph: () - | Coastal Rose Aba 190 Riverwalk Blvd Apt F102 Freeport FL 32439-1403 Ph: (302) 464-9666 |
| NPI Number | 1548058985 |
|---|---|
| Provider Enumeration Date | 04/26/2025 |
| Last Update Date | 04/26/2025 |
| Certification Date | 04/26/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548058985 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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