Florida Autism Center
Behavior Analyst in North Fort Myers, FL. Organization (NPI-2).
NPI number1699294314
StatusActive
Last updated in NPPESNov 10, 2022
Details
- NPI
- 1699294314
- Entity type
- Organization (NPI-2)
- Legal business name
- Florida Autism Center
- Organization subpart
- Yes
- Enumeration date
- Sep 13, 2017
- Certification date
- Nov 10, 2022
- Last updated
- Nov 10, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | – | – | Yes |
| 106E00000X | Assistant Behavior Analyst | – | – | |
| 106S00000X | Behavior Technician | – | – |
Practice location
4085 Hancock Bridge Pkwy Ste 101North Fort Myers, FL 33903-7220
Phone 866-610-0580 · Fax 407-588-6294
Mailing address
300 International Pkwy Ste 200Lake Mary, FL 32746-5028
Phone 470-816-6449
Authorized official
Jason Owen
Ceo
4708166449
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