Organization
CAPERNAUM AUTISM CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIJAY DASIKA (ADMINISTRATOR)
(813) 553-8253
Entity
Organization
Contact information
Practice address
2024 EDGEWOOD DR S, LAKELAND, FL 33803-3637
(813) 553-8253
Mailing address
2024 EDGEWOOD DR S, LAKELAND, FL 33803-3637
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/02/2025
Last updated
01/22/2026
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