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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
2868 MAHAN DR UNIT 25, TALLAHASSEE, FL 32308-5468
(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
252Y00000X
Early Intervention Provider Agency
Primary

Other

Enumeration date
09/21/2015
Last updated
11/07/2022
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