# CHIPOLA AREA AUTISM RESOURCE CENTER, INC.

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

## Provider details

- **NPI number:** 1558881656
- **Authorized official:** ANN MARIE SHELTON BCBA (DIRECTOR)
- **Authorized official phone:** (850) 272-6099

## Contact information

- **Practice address:** 5865 NEALS LANDING RD, BASCOM, FL 32423-9213
- **Practice address phone:** (850) 272-6099
- **Mailing address:** 4438 DAVIS ST, MARIANNA, FL 32446-3125
- **Mailing address phone:** (850) 272-6099

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103K00000X | Behavior Analyst | 1-16-23058 | FL | Yes |

## Other

- **Enumeration date:** 06/21/2017
- **Last updated:** 07/21/2022