# FLORIDA AUTISM CENTER

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

## Provider details

- **NPI number:** 1134662307
- **Authorized official:** JASON OWEN (CEO)
- **Authorized official phone:** (470) 816-6449

## Contact information

- **Practice address:** 45 ALABAMA AVE, JACKSONVILLE, FL 32218-2677
- **Practice address phone:** (866) 610-0580
- **Mailing address:** 300 INTERNATIONAL PKWY STE 200, LAKE MARY, FL 32746-5028

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103K00000X | Behavior Analyst | — | NULL | Yes |
| 103K00000X | Behavior Analyst | — | — | Yes |
| 106E00000X | Assistant Behavior Analyst | — | NULL | — |
| 106E00000X | Assistant Behavior Analyst | — | — | — |
| 106S00000X | Behavior Technician | — | NULL | — |
| 106S00000X | Behavior Technician | — | — | — |

## Other

- **Enumeration date:** 11/21/2016
- **Last updated:** 11/07/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 9093700 | — | FL |