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Organization

FLORIDA AUTISM CENTER

Active
Other names
Fusion Autism Center
Organization subpart
No

Provider details

NPI number
Authorized official
JASON OWEN (CEO)
(470) 816-6449
Entity
Organization

Contact information

Practice address
5328 LANIER ISLANDS PKWY, BUFORD, GA 30518-9071
(866) 610-0590
Mailing address
300 INTERNATIONAL PKWY STE 200, LAKE MARY, FL 32746-5028
(470) 816-6449

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
106E00000X
Assistant Behavior Analyst
106S00000X
Behavior Technician

Other

Enumeration date
10/28/2019
Last updated
11/10/2022
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