Organization
FLORIDA AUTISM CENTER
Active
Other names
Fusion Autism Center
Organization subpart
No
Provider details
NPI number
Authorized official
JASON OWEN (CEO)
(470) 816-6449
Entity
Organization
Contact information
Practice address
1619 COLLINS RD NW STE 500, KENNESAW, GA 30152-8237
(866) 610-0580
Mailing address
300 INTERNATIONAL PKWY STE 200, LAKE MARY, FL 32746-5028
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
06/11/2019
Last updated
11/07/2022
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