Healthcare Provider Details

I. General information

NPI: 1275459281
Provider Name (Legal Business Name): ATLANTIC CARE ABA SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2026
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2802 ALOMA AVE STE 201
WINTER PARK FL
32792-3532
US

IV. Provider business mailing address

2802 ALOMA AVE STE 201
WINTER PARK FL
32792-3532
US

V. Phone/Fax

Practice location:
  • Phone: 407-270-5501
  • Fax:
Mailing address:
  • Phone: 407-270-5501
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: JASON COONS
Title or Position: OWNER
Credential:
Phone: 407-270-5501