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Nicole Catherine Coughlin

Behavior Analyst β€’ Ponte Vedra, FL

Active NPI 1255763314 Individual Practitioner Female Practitioner
Practice location in NPPES

28 Breezeway Ct
Ponte Vedra, FL 320818494

Call 6317662743 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

28 Breezeway Ct

Ponte Vedra, FL 320818494

Telephone 6317662743
Other Listings in Public Data

NPPES lists 1 additional practice-address record in Bay Shore, NY. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2013

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Ponte Vedra and Florida

5 active clinicians are listed under Behavior Analyst with a practice address in Ponte Vedra, FL (13,581 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-12-29
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES FL 1-18-29175

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Behavior Analyst

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES NC 3089

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Behavior Analyst

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES GA LBA000569

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Secondary Practice Locations

981 Manor Ln

Bay Shore, NY 117067516

Phone: 6317662743

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 29, 2025

Behavior Analyst (license number reported to NPPES: FL 1-18-29175)

πŸ“
Updated Practice Location October 05, 2018

Registered at 28 BREEZEWAY CT, PONTE VEDRA, FL 320818494 (Tel: 6317662743)

πŸ“
Updated Business Mailing Address October 05, 2018

Registered at 28 BREEZEWAY CT, PONTE VEDRA, FL 320818494 (Tel: 6317662743)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 05, 2018

Early Intervention Provider Agency (license number reported to NPPES: NY 723405131)

βœ…
NPI Profile Active July 31, 2013

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 31, 2013

Registered at 981 MANOR LN, BAY SHORE, NY 117067516 (Tel: 6317662743)

πŸ“
Business Mailing Address (Initial Record) July 31, 2013

Registered at 981 MANOR LN, BAY SHORE, NY 117067516 (Tel: 6317662743)

πŸ‘€
Provider Name / Credentials (Initial Record) July 31, 2013

Recorded as NICOLE COUGHLIN

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 31, 2013

Early Intervention Provider Agency (license number reported to NPPES: NY 723406131)

🟒
Initial NPI Registration & Enumeration July 31, 2013

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1255763314
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 31, 2013
Last Update: December 29, 2025
Sole Proprietor: Yes

Mailing Address

28 Breezeway Ct

Ponte Vedra, FL 320818494

Phone: 6317662743

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.