| Florida Autism Center | |
|
2417 Millcreek Lane # 4 Tallahassee FL 32308 | |
| (850) 391-6060 | |
| Not Available |
| Full Name | Florida Autism Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2417 Millcreek Lane # 4, Tallahassee, 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 2417 Millcreek Lane # 4 Tallahassee FL 32308 Ph: (850) 391-6060 |
| NPI Number | 1356696959 |
|---|---|
| Provider Enumeration Date | 07/19/2012 |
| Last Update Date | 11/08/2022 |
| Certification Date | 11/08/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356696959 | NPI | - | NPPES |
| 103K00000X | Other | BEHAVIOR ANALYST |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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