| Florida Autism Center | |
|
2013 Miccosukee Rd Tallahassee FL 32308-5307 | |
| (850) 391-6060 | |
| Not Available |
| Full Name | Florida Autism Center |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2013 Miccosukee Rd, Tallahassee, Florida |
| Authorized Official Name and Position | Todd Bullock (FINANCE MANAGER) |
| Authorized Official Contact | 8503916060 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Florida Autism Center 2013 Miccosukee Rd Tallahassee FL 32308-5307 Ph: () - | Florida Autism Center 2013 Miccosukee Rd Tallahassee FL 32308-5307 Ph: (850) 391-6060 |
| NPI Number | 1134469075 |
|---|---|
| Provider Enumeration Date | 02/28/2013 |
| Last Update Date | 02/28/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134469075 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-13-12813 (Florida) | Primary |
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