| Emerald Coast Autism Center | |
|
80 College Blvd E Niceville FL 32578-1343 | |
| (850) 279-3000 | |
| (850) 389-2269 |
| Full Name | Emerald Coast Autism Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 80 College Blvd E, Niceville, Florida |
| Authorized Official Name and Position | Beth Leeper (OFFICE MANAGER) |
| Authorized Official Contact | 8502793000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Emerald Coast Autism Center 80 College Blvd E Niceville FL 32578-1343 Ph: (850) 279-3000 | Emerald Coast Autism Center 80 College Blvd E Niceville FL 32578-1343 Ph: (850) 279-3000 |
| NPI Number | 1972030617 |
|---|---|
| Provider Enumeration Date | 05/12/2017 |
| Last Update Date | 05/12/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972030617 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 0177772 (Florida) | Primary |
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