| First Coast Autism Llc | |
|
8 Wildwood Lane Palm Coast FL 32137 | |
| (386) 227-6485 | |
| (866) 247-1790 |
| Full Name | First Coast Autism Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 8 Wildwood Lane, Palm Coast, Florida |
| Authorized Official Name and Position | David Keith Calabrese (BEHAVIOR ANALYST/PRESIDENT) |
| Authorized Official Contact | 3862276485 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| First Coast Autism Llc 8 Wildwood Lane Palm Coast FL 32137 Ph: (386) 227-6485 | First Coast Autism Llc 8 Wildwood Lane Palm Coast FL 32137 Ph: (386) 227-6485 |
| NPI Number | 1861821084 |
|---|---|
| Provider Enumeration Date | 11/07/2013 |
| Last Update Date | 01/31/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861821084 | NPI | - | NPPES |
| 021072800 | Medicaid | FL |
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