| Williston Autism, Llc | |
|
930 Williston Park Pt Lake Mary FL 32746-2164 | |
| (407) 756-2703 | |
| Not Available |
| Full Name | Williston Autism, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 930 Williston Park Pt, Lake Mary, Florida |
| Authorized Official Name and Position | Sebnem Aras (PRESIDENT) |
| Authorized Official Contact | 4077562703 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Williston Autism, Llc 1786 Markham Glen Cir Longwood FL 32779-2797 Ph: (407) 756-2703 | Williston Autism, Llc 930 Williston Park Pt Lake Mary FL 32746-2164 Ph: (407) 756-2703 |
| NPI Number | 1114645629 |
|---|---|
| Provider Enumeration Date | 08/19/2022 |
| Last Update Date | 08/19/2022 |
| Certification Date | 08/19/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114645629 | NPI | - | NPPES |
| 902719 | Other | ATN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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