Organization
JACKSONVILLE AUTISTIC SOCIETY
Active
Organization
JACKSONVILLE AUTISTIC SOCIETY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEMETRIA WALKER (PRESIDENT)
(904) 415-8343
Entity
Organization
Contact information
Practice address
1800 ATLANTIC BLVD STE 4, JACKSONVILLE, FL 32207-3404
(904) 532-3512
Mailing address
1800 ATLANTIC BLVD STE 4, JACKSONVILLE, FL 32207-3404
(904) 532-3512
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
183700000X
Pharmacy Technician
—
—
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
251K00000X
Public Health or Welfare Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
251V00000X
Voluntary or Charitable Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
305S00000X
Point of Service
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
08/05/2022
Last updated
08/11/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up