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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