Florida Autism Center

LBN: Florida Autism Center
Florida Autism Center is an health care organization with primary practice located at 124 Capulet Drive , St Augustine FL 32092. The organization recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Assistant Behavior Analyst, Behavioral Health & Social Service Providers / Behavior Technician, Agencies / Community/Behavioral Health, Agencies / Early Intervention Provider Agency. Behavioral Health & Social Service Providers / Behavioral Analyst is the primary health care specialty. Florida Autism Center can be contacted via phone (386) 951-3044, or through Owen, Jason via phone (470) 816-6449.

Contact Information

Primary practice address
124 Capulet Drive St Augustine FL 32092
Phone: (386) 951-3044
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Owen, Jason
Phone: (470) 816-6449

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Agencies / Community/Behavioral Health 251S00000X
Agencies / Early Intervention Provider Agency 252Y00000X

Profile Details

NPI number 1790146462
LBN Legal business name Florida Autism Center
DBA Doing business as
Authorized official Owen, Jason
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 9th, 2016
Last updated Nov 10th, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790146462 NPPES
Florida MEDICAID 595665

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