Organization · NPI-2

Florida Autism Center

Behavior Analyst · Lithonia, GA

NPI number1346889037
StatusActive
Last updated in NPPESNov 8, 2022

Details

NPI
1346889037
Entity type
Organization (NPI-2)
Legal business name
Florida Autism Center
Organization subpart
No
Enumeration date
Dec 30, 2019
Certification date
Nov 8, 2022
Last updated
Nov 8, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103K00000X Behavior Analyst––Yes
106E00000X Assistant Behavior Analyst––
106S00000X Behavior Technician––

Other names

  • Fusion Autism Center (Doing Business As)

Practice location

5461 Hillandale Dr Ste 100
Lithonia, GA 30058-4842

Phone 866-610-0590

Mailing address

300 International Pkwy Ste 200
Lake Mary, FL 32746-5028

Phone 470-816-6449

Authorized official

Jason Owen
Ceo
4708166449

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Behavior Analyst providers in Lithonia, GA