Jacksonville Autism Clinic Llc

LBN: Jacksonville Autism Clinic Llc
Jacksonville Autism Clinic Llc is an health care organization with primary practice located at 9000 Southside Blvd Bldg 900 , Jacksonville FL 32256-0791. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Ambulatory Health Care Facilities / Multi-Specialty, Ambulatory Health Care Facilities / Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF). Ambulatory Health Care Facilities / Multi-Specialty is the primary health care specialty. Jacksonville Autism Clinic Llc can be contacted via phone (904) 732-4343, or through Dunham, Helen Michelle via phone (904) 732-4343.

Contact Information

Primary practice address
9000 Southside Blvd Bldg 900 Jacksonville FL 32256-0791
Phone: (904) 732-4343
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Dunham, Helen Michelle
Phone: (904) 732-4343

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X
Ambulatory Health Care Facilities / Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X

Profile Details

NPI number 1265016927
LBN Legal business name Jacksonville Autism Clinic Llc
DBA Doing business as
Authorized official Dunham, Helen Michelle
Entity Organization
Organization subpart 1 No
Enumeration date May 10th, 2021
Last updated Jan 26th, 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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