| Fusion Autism Center | |
|
791 Rinehart Rd Lake Mary FL 32746-4876 | |
| (407) 413-9550 | |
| Not Available |
| Full Name | Fusion Autism Center |
|---|---|
| Speciality | Behavior Analyst |
| Location | 791 Rinehart Rd, Lake Mary, 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 |
|---|---|
| Fusion Autism Center 300 International Pkwy Ste 200 Lake Mary FL 32746-5028 Ph: (470) 816-6449 | Fusion Autism Center 791 Rinehart Rd Lake Mary FL 32746-4876 Ph: (407) 413-9550 |
| NPI Number | 1639320203 |
|---|---|
| Provider Enumeration Date | 10/01/2008 |
| Last Update Date | 11/10/2022 |
| Certification Date | 11/10/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639320203 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 252Y00000X | Early Intervention Provider Agency | (* (Not Available)) | Secondary |
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