DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: FLORIDA AUTISM CENTER

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
1106E00000XAssistant Behavior Analyst
2106S00000XBehavior Technician
3103K00000XBehavior Analyst

General Provider Information

NPI Number : 1245862119
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 : 866-610-0580
Fax Number :
Provider Business Practice Location Address
First Line : 105 GRAND CENTRAL BLVD STE 101
Second Line :
City : POOLER
State : GA
Zip : 31322-4146
Country : US
Telephone Number : 866-610-0580
Fax Number :
Authorized Official
Title or Position : CEO
Name : JASON OWEN
Credential :
Telephone Number : 470-816-6449
Provider Enumeration Date : 02/10/2020
Last Update Date : 11/07/2022

Similar Medicare Providers

1376485029 — PORSHA JOHNSON
Practice Location Address:
105 GRAND CENTRAL BLVD STE 101
POOLER, GA
31322-4146
Practice Phone: 912-244-3305
Practice Fax:
1558754317 — COURTNEY LASKY M.ED., BCBA
Practice Location Address:
105 GRAND CENTRAL BLVD STE 101
POOLER, GA
31322-4146
Practice Phone: 407-908-7356
Practice Fax:
1659741460 — NATHALIE POCRAIN BCBA
Practice Location Address:
105 GRAND CENTRAL BLVD STE 101
POOLER, GA
31322-4146
Practice Phone: 470-394-0004
Practice Fax: 470-241-1269
1972042802 — MICHELLE BROWN BCBA
Practice Location Address:
105 GRAND CENTRAL BLVD STE 101
POOLER, GA
31322-4146
Practice Phone: 912-388-1035
Practice Fax: 912-525-0581
1902325210 — HEATHER BIRD
Practice Location Address:
105 GRAND CENTRAL BLVD STE 101
POOLER, GA
31322-4146
Practice Phone: 866-610-0580
Practice Fax: 407-588-6294
1336797463 — KAITLYNN MCGUINNESS
Practice Location Address:
105 GRAND CENTRAL BLVD STE 101
POOLER, GA
31322-4146
Practice Phone: 912-388-1035
Practice Fax: 912-525-0581

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 © 2007-2026 (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.