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Organization
FLORIDA AUTISM CENTER
Active
Organization
FLORIDA AUTISM CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD BULLOCK (FINANCE MANAGER)
(850) 391-6060
Entity
Organization
Contact information
Practice address
2013 MICCOSUKEE RD, TALLAHASSEE, FL 32308-5307
(850) 391-6060
Mailing address
2013 MICCOSUKEE RD, TALLAHASSEE, FL 32308-5307
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-13-12813
FL
Other
Enumeration date
02/28/2013
Last updated
02/28/2013
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