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Organization
CHIPOLA AREA AUTISM RESOURCE CENTER, INC.
Active
Organization
CHIPOLA AREA AUTISM RESOURCE CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANN MARIE SHELTON BCBA (DIRECTOR)
(850) 272-6099
Entity
Organization
Contact information
Practice address
5865 NEALS LANDING RD, BASCOM, FL 32423-9213
(850) 272-6099
Mailing address
4438 DAVIS ST, MARIANNA, FL 32446-3125
(850) 272-6099
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-16-23058
FL
Other
Enumeration date
06/21/2017
Last updated
07/21/2022
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