Autism Consulting Network | |
203 E 10th St Sanford FL 32771-2621 | |
(850) 583-1911 | |
Not Available |
Full Name | Autism Consulting Network |
---|---|
Speciality | Behavior Analyst |
Location | 203 E 10th St, Sanford, Florida |
Authorized Official Name and Position | Chrystin Bullock (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 8505831911 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Autism Consulting Network 203 E 10th St Sanford FL 32771-2621 Ph: () - | Autism Consulting Network 203 E 10th St Sanford FL 32771-2621 Ph: (850) 583-1911 |
NPI Number | 1053649830 |
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Provider Enumeration Date | 12/06/2009 |
Last Update Date | 12/06/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053649830 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | 1-05-2521 (* (Not Available)) | Primary |
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