Organization
ACADEMY FOR AUTISM INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ZULMA IVETTE RIVAS-VETELL (DIRECTOR)
(407) 852-9922
Entity
Organization
Contact information
Practice address
11 EAST LANCASTER ROAD, ORLANDO, FL 32809
(407) 852-9922
(407) 852-9944
Mailing address
11 EAST LANCASTER ROAD, ORLANDO, FL 32809
(407) 852-9922
(407) 852-9944
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
FL
225100000X
Physical Therapist
—
—
2251P0200X
Pediatric Physical Therapist
—
—
225X00000X
Occupational Therapist
—
FL
235Z00000X
Speech-Language Pathologist
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890752800
—
FL
Enumeration date
07/20/2007
Last updated
05/14/2019
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