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Organization
FLORIDA AUTISM CENTER
Active
Organization
FLORIDA AUTISM CENTER
Active
Other names
Blue Sprig, Fusion Autism Center
Organization subpart
No
Provider details
NPI number
Authorized official
JASON OWEN (CEO)
(470) 816-6449
Entity
Organization
Contact information
Practice address
791 RINEHART RD, LAKE MARY, FL 32746-4876
(407) 413-9550
Mailing address
300 INTERNATIONAL PKWY STE 200, LAKE MARY, FL 32746-5028
(470) 816-6449
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
10/01/2008
Last updated
11/10/2022
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