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Organization
FIRST COAST AUTISM LLC
Active
Organization
FIRST COAST AUTISM LLC
Active
Other names
David Calabrese, BCBA, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID KEITH CALABRESE BCBA (BEHAVIOR ANALYST/PRESIDENT)
(386) 227-6485
Entity
Organization
Contact information
Practice address
8 WILDWOOD LANE, PALM COAST, FL 32137
(386) 227-6485
(866) 247-1790
Mailing address
8 WILDWOOD LANE, PALM COAST, FL 32137
(386) 227-6485
(866) 247-1790
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
251S00000X
Community/Behavioral Health Agency
1-12-11985
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021072800
—
FL
Enumeration date
11/07/2013
Last updated
01/31/2019
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