Organization
FURTHERANCE OF AUTISM WITH INTERVENTION, TREATMENT, AND HEALTH SERVICE
Active
Other names
F.A.I.T.H.
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DOEMIKO FLORES (OWNER)
(615) 294-1221
Entity
Organization
Contact information
Practice address
165 ALLIGATOR BAY, SNEADS FERRY, NC 28460-8503
(615) 294-1221
Mailing address
165 ALLIGATOR BAY, SNEADS FERRY, NC 28460-8503
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-07-3519
FL
Other
Enumeration date
05/21/2013
Last updated
05/21/2013
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