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Organization

AUTISM LIVING EXPERIENCE, LLC

Active
Other names
Autism Living Experience, LLC, Opal Autism Centers
Organization subpart
No

Provider details

NPI number
Authorized official
TODD STUCKEY (CHIEF FINANCIAL OFFICER)
(888) 392-8642
Entity
Organization

Contact information

Practice address
4052 RIVER BANK WAY, PUNTA GORDA, FL 33980-6515
(941) 400-1044
(888) 783-7611
Mailing address
1990 MAIN ST STE 750, SARASOTA, FL 34236-8000
(888) 392-8642
(888) 783-7611

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
103T00000X
Psychologist
106S00000X
Behavior Technician
251C00000X
Developmentally Disabled Services Day Training Agency
251S00000X
Community/Behavioral Health Agency

Other

Enumeration date
01/10/2022
Last updated
05/01/2026
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