| Fusion Autism Center | |
|
296 Merchants Sq Dallas GA 30132-5029 | |
| (866) 610-0580 | |
| (866) 695-2204 |
| Full Name | Fusion Autism Center |
|---|---|
| Speciality | Behavior Analyst |
| Location | 296 Merchants Sq, Dallas, Georgia |
| 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: () - | Fusion Autism Center 296 Merchants Sq Dallas GA 30132-5029 Ph: (866) 610-0580 |
| NPI Number | 1124618202 |
|---|---|
| Provider Enumeration Date | 01/22/2021 |
| Last Update Date | 11/07/2022 |
| Certification Date | 11/07/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124618202 | NPI | - | NPPES |
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