Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1255763314 Individual Practitioner Female Practitioner

Nicole Catherine Coughlin

Behavior Analyst • Ponte Vedra, FL

Professional Overview & Biography Verified Profile Summary

Nicole Coughlin is a registered healthcare professional specializing in Behavior Analyst in Ponte Vedra, FL. Practice services are available at 28 BREEZEWAY CT under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

28 Breezeway Ct

Ponte Vedra, FL 320818494

Telephone 6317662743

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Ponte Vedra, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.6 Yrs
Regional Practice Density
5 Specialists

Practicing in Ponte Vedra, FL (13679 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-12-29
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License 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

State License 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

State License 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.

Secondary Practice Locations

981 Manor Ln

Bay Shore, NY 117067516

Phone: 6317662743

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

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

Behavior Analyst (License #1-18-29175 in FL)

📍
Updated Practice Location October 05, 2018

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

📍
Updated Business Mailing Address October 05, 2018

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

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

Early Intervention Provider Agency (License #723405131 in NY)

NPI Profile Active July 31, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location July 31, 2013

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

📍
Updated Business Mailing Address July 31, 2013

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

👤
Provider Name / Credentials Updated July 31, 2013

Recorded as NICOLE COUGHLIN

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

Early Intervention Provider Agency (License #723406131 in NY)

🟢
Initial NPI Registration & Enumeration July 31, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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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

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.