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Organization
FLORIDA AUTISM CENTER
Active
Organization
FLORIDA AUTISM CENTER
Active
Parent organization
SCP AUTISM SERVICES LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SCP AUTISM SERVICES LLC
Authorized official
JASON OWEN (CEO)
(470) 816-6449
Entity
Organization
Contact information
Practice address
11476 S APOPKA VINELAND RD STE 118, ORLANDO, FL 32836-7006
(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
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
251S00000X
Community/Behavioral Health Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9093700
—
FL
Enumeration date
09/22/2015
Last updated
11/10/2022
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