Organization
SOUTH FLORIDA AUTISM CENTER
Active
Other names
SFAC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAMARA LATOYA MOODIE PH. D. (EXECUTIVE DIRECTOR)
(305) 823-2700
Entity
Organization
Contact information
Practice address
18305 NW 75TH PL, HIALEAH, FL 33015-2957
(305) 823-2700
(305) 823-2705
Mailing address
3751 W 108TH ST, HIALEAH, FL 33018-2218
(305) 823-2700
(305) 823-2705
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
597079
—
FL
Enumeration date
05/04/2016
Last updated
02/07/2022
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