| Autisk Llc | |
|
10150 Highland Manor Dr Ste 200 Tampa FL 33610-9712 | |
| (813) 344-2070 | |
| Not Available |
| Full Name | Autisk Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 10150 Highland Manor Dr Ste 200, Tampa, Florida |
| Authorized Official Name and Position | Alejandro Chacartegui Lagares (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 8133442070 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Autisk Llc 10150 Highland Manor Dr Ste 200 Tampa FL 33610-9712 Ph: (813) 344-2070 | Autisk Llc 10150 Highland Manor Dr Ste 200 Tampa FL 33610-9712 Ph: (813) 344-2070 |
| NPI Number | 1063178184 |
|---|---|
| Provider Enumeration Date | 11/12/2021 |
| Last Update Date | 10/20/2023 |
| Certification Date | 10/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063178184 | NPI | - | NPPES |
| 117265600 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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