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Organization
FLORIDA AUTISM CENTER
Active
Organization
FLORIDA AUTISM CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON OWEN (CEO)
(470) 816-6449
Entity
Organization
Contact information
Practice address
29228 US HIGHWAY 19 N, CLEARWATER, FL 33761-2101
(866) 610-0580
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9093700
—
FL
Enumeration date
11/21/2016
Last updated
11/10/2022
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