Organization
AUTISM SERVICES OF FL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NICOLE PAMELA EDGE MS, BCBA (OWNER)
(239) 707-3383
Entity
Organization
Contact information
Practice address
12501 WORLD PLAZA LN BLDG 51, FORT MYERS, FL 33907-3991
(239) 349-3139
(239) 984-4372
Mailing address
12501 WORLD PLAZA LN BLDG 51, FORT MYERS, FL 33907-3991
(239) 349-3139
(239) 984-4372
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/10/2021
Last updated
04/17/2024
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