MEDICARE: FLORIDA AUTISM CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	252Y00000X	Early Intervention Provider Agency

General Provider Information

NPI Number	:	1144699109
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FLORIDA AUTISM CENTER

Provider Business Mailing Address
First Line	:	300 INTERNATIONAL PKWY STE 200
Second Line	:
City	:	LAKE MARY
State	:	FL
Zip	:	32746-5028
Country	:	US
Telephone Number	:	470-816-6449
Fax Number	:

Provider Business Practice Location Address
First Line	:	2868 MAHAN DR UNIT 25
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32308-5468
Country	:	US
Telephone Number	:	407-413-9550
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	JASON OWEN
Credential	:
Telephone Number	:	470-816-6449

Provider Enumeration Date	:	09/21/2015
Last Update Date	:	11/07/2022

Similar Medicare Providers

1194687731 — AMALIA ZEA RBT
Practice Location Address:

2868 MAHAN DR
TALLAHASSEE, FL
32308-5468

Practice Phone: 850-391-6060
Practice Fax:

1558467431 — DR. RICHARD E BLACKBURN M.D.
Practice Location Address:

2868 MAHAN DR , SUITE 5
TALLAHASSEE, FL
32308-5468

Practice Phone: 850-942-7177
Practice Fax: 850-656-9443

1942306824 — DR. STANLEY J WHITNEY M.D.
Practice Location Address:

2868 MAHAN DR , SUITE 5
TALLAHASSEE, FL
32308-5468

Practice Phone: 850-942-7177
Practice Fax: 850-656-9443

1013013929 — TALLAHASSEE NEUROLOGY ASSOCIATES, P.A.
Practice Location Address:

2868 MAHAN DR , SUITE 5
TALLAHASSEE, FL
32308-5468

Practice Phone: 850-942-7177
Practice Fax: 850-656-9443

1205179488 — MS. CELEDIA EMMA MCCULLOUGH BA
Practice Location Address:

2868 MAHAN DR UNIT 252627
TALLAHASSEE, FL
32308-5468

Practice Phone: 850-391-6060
Practice Fax: 850-692-6206

1023527546 — YOLANDA GUZMAN CACEDA RBT
Practice Location Address:

2868 MAHAN DR # 2526-27
TALLAHASSEE, FL
32308-5468

Practice Phone: 850-391-6060
Practice Fax:

Directions to “FLORIDA AUTISM CENTER ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.