Organization
AUTISM CONSULTING NETWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRYSTIN BULLOCK BCBA (EXECUTIVE DIRECTOR)
(850) 583-1911
Entity
Organization
Contact information
Practice address
203 E 10TH ST, SANFORD, FL 32771-2621
(850) 583-1911
Mailing address
203 E 10TH ST, SANFORD, FL 32771-2621
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-05-2521
—
Other
Enumeration date
12/06/2009
Last updated
12/06/2009
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