Organization
FLORIDA INSTITUTE OF TECHNOLOGY
Active
Parent organization
FLORIDA INSTITUTE OF TECHNOLOGY
Other names
Nonprofit
Organization subpart
Yes
Provider details
NPI number
Legal business name
FLORIDA INSTITUTE OF TECHNOLOGY
Authorized official
ASHLEY ADAMS (CLINICAL OPERATIONS ASSOCIATE)
(321) 674-8106
Entity
Organization
Contact information
Practice address
150 W UNIVERSITY BLVD, THE SCOTT CENTER FOR AUTISM TREATMENT, MELBOURNE, FL 32901
(321) 674-8106
(321) 674-8411
Mailing address
150 W UNIVERSITY BLVD, THE SCOTT CENTER FOR AUTISM TREATMENT, MELBOURNE, FL 32901-6975
(321) 674-8106
(321) 674-8411
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
FL
103T00000X
Psychologist
—
FL
235Z00000X
Speech-Language Pathologist
—
FL
251S00000X
Community/Behavioral Health Agency
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017501800
—
FL
Enumeration date
06/09/2008
Last updated
06/29/2018
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