Organization
EMERALD COAST AUTISM CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STACI BERRYMAN BCBA (EXECUTIVE DIRECTOR)
(850) 279-3000
Entity
Organization
Contact information
Practice address
315 EDGE AVE, VALPARAISO, FL 32580-1807
(850) 279-3000
(850) 389-2269
Mailing address
315 EDGE AVE, VALPARAISO, FL 32580-1807
(850) 279-3000
(850) 389-2269
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
11518965
FL
Other
Enumeration date
07/10/2015
Last updated
07/10/2015
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