# FLORIDA AUTISM CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Fusion Autism Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477106110
- **Authorized official:** JASON OWEN (CEO)
- **Authorized official phone:** (470) 816-6449

## Contact information

- **Practice address:** 4920 ROSWELL RD, ATLANTA, GA 30342-2686
- **Practice address phone:** (866) 610-0590
- **Mailing address:** 300 INTERNATIONAL PKWY, LAKE MARY, FL 32746-5035
- **Mailing address phone:** (470) 816-6449

## Taxonomy

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

## Other

- **Enumeration date:** 07/22/2019
- **Last updated:** 11/10/2022