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Organization
WILLISTON AUTISM, LLC
Active
Organization
WILLISTON AUTISM, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SEBNEM ARAS (PRESIDENT)
(407) 756-2703
Entity
Organization
Contact information
Practice address
930 WILLISTON PARK PT, LAKE MARY, FL 32746-2164
(407) 756-2703
Mailing address
1786 MARKHAM GLEN CIR, LONGWOOD, FL 32779-2797
(407) 756-2703
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
902719
ATN
—
Enumeration date
08/19/2022
Last updated
08/19/2022
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