Emerald Coast Autism Center | |
200 Partin Dr N Niceville FL 32578-1244 | |
(850) 279-3000 | |
(850) 678-0922 |
Full Name | Emerald Coast Autism Center |
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Speciality | Behavior Analyst |
Location | 200 Partin Dr N, Niceville, Florida |
Authorized Official Name and Position | Staci S. Berryman (DIRECTOR) |
Authorized Official Contact | 8502793000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Emerald Coast Autism Center 200 Partin Dr N Niceville FL 32578-1244 Ph: (850) 279-3000 | Emerald Coast Autism Center 200 Partin Dr N Niceville FL 32578-1244 Ph: (850) 279-3000 |
NPI Number | 1649508912 |
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Provider Enumeration Date | 11/25/2009 |
Last Update Date | 11/25/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1649508912 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (Florida) | Primary |
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