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Organization
ATLAS ACADEMY, INC
Active
Organization
ATLAS ACADEMY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MELISSA ANN MOSSFORD-CARROLL BCBA, LMHC (CEO)
(386) 316-3004
Entity
Organization
Contact information
Practice address
1621 ESPANOLA AVE, DAYTONA BEACH, FL 32117-1745
(386) 283-0553
(386) 220-8281
Mailing address
23 RYBAR LN, PALM COAST, FL 32164-6445
(386) 316-3004
(386) 220-8281
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
—
NULL
103K00000X
Behavior Analyst
—
—
106E00000X
Assistant Behavior Analyst
—
NULL
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
NULL
106S00000X
Behavior Technician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
06/26/2023
Last updated
06/26/2023
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