Organization · NPI-2

Atlas Academy, INC

Clinic/Center, Multi-Specialty · Daytona Beach, FL

NPI number1619653318
StatusActive
Last updated in NPPESJun 26, 2023

Details

NPI
1619653318
Entity type
Organization (NPI-2)
Legal business name
Atlas Academy, INC
Organization subpart
No
Enumeration date
Jun 26, 2023
Certification date
Jun 26, 2023
Last updated
Jun 26, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM1300X Clinic/Center, Multi-Specialty––Yes
101YM0800X Counselor, Mental Health––
103K00000X Behavior Analyst––
106E00000X Assistant Behavior Analyst––
106S00000X Behavior Technician––

Practice location

1621 Espanola Ave
Daytona Beach, FL 32117-1745

Phone 386-283-0553 · Fax 386-220-8281

Mailing address

23 Rybar Ln
Palm Coast, FL 32164-6445

Phone 386-316-3004 · Fax 386-220-8281

Authorized official

Melissa Ann Mossford-Carroll
Ceo
3863163004

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 Clinic/Center, Multi-Specialty providers in Daytona Beach, FL