Organization
EMERALD COAST AUTISM CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BETH LEEPER (OFFICE MANAGER)
(850) 279-3000
Entity
Organization
Contact information
Practice address
315 EDGE AVE, VALPARAISO, FL 32580-1807
(850) 279-3000
(850) 389-2269
Mailing address
315 EDGE AVE, VALPARAISO, FL 32580-1807
(850) 279-3000
(850) 389-2269
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SZ7329
FL
Other
Enumeration date
09/28/2015
Last updated
09/28/2015
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