Organization
FLORIDA AUTISM CENTER
Active
Organization
FLORIDA AUTISM CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON OWEN (CEO)
(470) 816-6449
Entity
Organization
Contact information
Practice address
2417 MILLCREEK LANE # 4, TALLAHASSEE, FL 32308
(850) 391-6060
Mailing address
300 INTERNATIONAL PKWY STE 200, LAKE MARY, FL 32746-5028
(470) 816-6449
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103K00000X
BEHAVIOR ANALYST
—
Enumeration date
07/19/2012
Last updated
11/08/2022
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