Organization
THE JERICHO SCHOOL FOR CHILDREN WITH AUTISM, INC.
Active
Organization
THE JERICHO SCHOOL FOR CHILDREN WITH AUTISM, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANGELO A. MARTINEZ B.C.A.B.A. (EXECUTIVE DIRECTOR)
(904) 744-5110
Entity
Organization
Contact information
Practice address
1351 SPRINKLE DR, JACKSONVILLE, FL 32211-5448
(904) 744-5110
(904) 744-3443
Mailing address
PO BOX 11057, JACKSONVILLE, FL 32239-1057
(904) 744-5110
(904) 744-3443
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
04/29/2010
Last updated
04/29/2010
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