| Florida Autism Center | |
|
124 Capulet Drive St Augustine FL 32092 | |
| (386) 951-3044 | |
| Not Available |
| Full Name | Florida Autism Center |
|---|---|
| Speciality | Behavior Analyst |
| Location | 124 Capulet Drive, St Augustine, 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 124 Capulet Drive St Augustine FL 32092 Ph: (386) 951-3044 |
| NPI Number | 1790146462 |
|---|---|
| Provider Enumeration Date | 03/09/2016 |
| Last Update Date | 11/10/2022 |
| Certification Date | 11/10/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790146462 | NPI | - | NPPES |
| 595665 | Medicaid | FL |
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