| Aurora Center For Autism | |
|
670 Mossy Branch Ct Longwood FL 32779-2638 | |
| (314) 406-6075 | |
| Not Available |
| Full Name | Aurora Center For Autism |
|---|---|
| Speciality | Behavior Analyst |
| Location | 670 Mossy Branch Ct, Longwood, Florida |
| Authorized Official Name and Position | Melissa Lynne King (CO-OWNER) |
| Authorized Official Contact | 3144066075 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aurora Center For Autism 670 Mossy Branch Ct Longwood FL 32779-2638 Ph: (314) 406-6075 | Aurora Center For Autism 670 Mossy Branch Ct Longwood FL 32779-2638 Ph: (314) 406-6075 |
| NPI Number | 1881268100 |
|---|---|
| Provider Enumeration Date | 05/20/2021 |
| Last Update Date | 05/20/2021 |
| Certification Date | 05/19/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881268100 | NPI | - | NPPES |
| 024731500 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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