Organization · NPI-2

Florida Autism Center

Behavior Analyst · Buford, GA

NPI number1457994907
StatusActive
Last updated in NPPESNov 10, 2022

Details

NPI
1457994907
Entity type
Organization (NPI-2)
Legal business name
Florida Autism Center
Organization subpart
No
Enumeration date
Oct 28, 2019
Certification date
Nov 10, 2022
Last updated
Nov 10, 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

5328 Lanier Islands Pkwy
Buford, GA 30518-9071

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

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