Organization
CHIPOLA AREA AUTISM RESOURCE CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANN MARIE SHELTON BCBA (DIRECTOR)
(850) 272-6099
Entity
Organization
Contact information
Practice address
5865 NEALS LANDING RD, BASCOM, FL 32423-9213
(850) 272-6099
Mailing address
4438 DAVIS ST, MARIANNA, FL 32446-3125
(850) 272-6099
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-16-23058
FL
Other
Enumeration date
06/21/2017
Last updated
07/21/2022
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