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Organization
SOUTHEAST ALABAMA AUTISM CENTER
Active
Organization
SOUTHEAST ALABAMA AUTISM CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE SLAY (BCBA)
(334) 360-1158
Entity
Organization
Contact information
Practice address
210 E GRUBBS ST, SUITE 1, ENTERPRISE, AL 36330-2646
(334) 360-1158
Mailing address
1871 HIGHWAY 2, WESTVILLE, FL 32464-3025
(334) 360-1158
(334) 694-5191
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-06-2863
FL
Other
Enumeration date
01/31/2014
Last updated
01/31/2014
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