| Florida Autism Center | |
|
1128 Beville Rd Daytona Beach FL 32114-5747 | |
| (386) 267-3161 | |
| Not Available |
| Full Name | Florida Autism Center |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1128 Beville Rd, Daytona Beach, Florida |
| Authorized Official Name and Position | Jason Owen (CEO) |
| Authorized Official Contact | 4708166449 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Florida Autism Center 300 International Pkwy Ste 200 Lake Mary FL 32746-5028 Ph: (470) 816-6449 | Florida Autism Center 1128 Beville Rd Daytona Beach FL 32114-5747 Ph: (386) 267-3161 |
| NPI Number | 1316360076 |
|---|---|
| Provider Enumeration Date | 01/30/2014 |
| Last Update Date | 11/08/2022 |
| Certification Date | 11/08/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316360076 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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