| Florida Autism Center | |
|
185 Mittie Haddock Dr Cameron NC 28326-9379 | |
| (910) 500-7783 | |
| Not Available |
| Full Name | Florida Autism Center |
|---|---|
| Speciality | Behavior Analyst |
| Location | 185 Mittie Haddock Dr, Cameron, North Carolina |
| 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 | Florida Autism Center 185 Mittie Haddock Dr Cameron NC 28326-9379 Ph: (910) 500-7783 |
| NPI Number | 1447932488 |
|---|---|
| Provider Enumeration Date | 08/01/2023 |
| Last Update Date | 08/01/2023 |
| Certification Date | 08/01/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447932488 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (NU) | Primary |
| 106E00000X | Assistant Behavior Analyst | (NU) | Secondary |
| 106S00000X | Behavior Technician | (NU) | Secondary |
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