# ATLAS ACADEMY, INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1619653318
- **Authorized official:** MS. MELISSA ANN MOSSFORD-CARROLL BCBA, LMHC (CEO)
- **Authorized official phone:** (386) 316-3004

## Contact information

- **Practice address:** 1621 ESPANOLA AVE, DAYTONA BEACH, FL 32117-1745
- **Practice address phone:** (386) 283-0553
- **Practice address fax:** (386) 220-8281
- **Mailing address:** 23 RYBAR LN, PALM COAST, FL 32164-6445
- **Mailing address phone:** (386) 316-3004
- **Mailing address fax:** (386) 220-8281

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |

## Other

- **Enumeration date:** 06/26/2023
- **Last updated:** 06/26/2023