Healthcare Provider Details

I. General information

NPI: 1043134992
Provider Name (Legal Business Name): SUNSHINE AUTISM CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26844 TANIC DR
WESLEY CHAPEL FL
33544-4616
US

IV. Provider business mailing address

15310 AMBERLY DR STE 175
TAMPA FL
33647-1640
US

V. Phone/Fax

Practice location:
  • Phone: 813-710-3014
  • Fax: 813-710-3014
Mailing address:
  • Phone: 813-710-3014
  • Fax: 813-710-3014

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: WILLIAM LUCAS
Title or Position: PRESIDENT
Credential:
Phone: 813-710-3014