Florida Autism Center
Behavior Analyst in Lake Mary, FL. Organization (NPI-2).
NPI number1841669686
StatusActive
Last updated in NPPESNov 10, 2022
Details
- NPI
- 1841669686
- Entity type
- Organization (NPI-2)
- Legal business name
- Florida Autism Center
- Organization subpart
- Yes
- Enumeration date
- Sep 23, 2015
- 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 | – | – | |
| 251S00000X | Community/Behavioral Health | – | – | |
| 252Y00000X | Early Intervention Provider Agency | – | – |
Practice location
791 Rinehart RdLake Mary, FL 32746-4876
Phone 407-413-9550
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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