# KIDDOS FIRST AUTISM THERAPY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023601986
- **Authorized official:** TALISSA LECINUE COX RBT (REGISTERED BEHAVIOR TECHNICIAN)
- **Authorized official phone:** (813) 557-9128

## Contact information

- **Practice address:** 5006 TROUBLE CREEK RD STE 218, NEW PORT RICHEY, FL 34652-4939
- **Practice address phone:** (813) 557-9128
- **Mailing address:** 510 E MORGAN ST, TARPON SPRINGS, FL 34689-4536
- **Mailing address phone:** (813) 557-9128

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/11/2021
- **Last updated:** 02/11/2021