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Organization
ELS FOR AUTISM FOUNDATION
Active
Organization
ELS FOR AUTISM FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARLENE SOTELO BCBA-D, MT-BC (PROGRAM DIRECTOR)
(561) 625-8269
Entity
Organization
Contact information
Practice address
18370 LIMESTONE CREEK RD, JUPITER, FL 33458-3860
(561) 625-8269
(561) 320-9495
Mailing address
18370 LIMESTONE CREEK RD, JUPITER, FL 33458-3860
(561) 625-8269
(561) 320-9495
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
NH 8400
FL
103K00000X
Behavior Analyst
Primary
BACB1-11-8447
FL
225A00000X
Music Therapist
03991
FL
225X00000X
Occupational Therapist
14230
FL
235Z00000X
Speech-Language Pathologist
SA6361
FL
Other
Enumeration date
07/07/2015
Last updated
06/23/2016
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