| Fusion Autism Center | |
|
6375 Mcginnis Ferry Rd Ste 202 Johns Creek GA 30005-3617 | |
| (866) 610-0590 | |
| Not Available |
| Full Name | Fusion Autism Center |
|---|---|
| Speciality | Behavior Analyst |
| Location | 6375 Mcginnis Ferry Rd Ste 202, Johns Creek, 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 | Fusion Autism Center 6375 Mcginnis Ferry Rd Ste 202 Johns Creek GA 30005-3617 Ph: (866) 610-0590 |
| NPI Number | 1033751888 |
|---|---|
| Provider Enumeration Date | 10/14/2019 |
| Last Update Date | 11/02/2022 |
| Certification Date | 11/02/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033751888 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | () | Primary |
| 106E00000X | Assistant Behavior Analyst | () | Secondary |
| 106S00000X | Behavior Technician | () | Secondary |
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