MEDICARE: FLORIDA AUTISM CENTER

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	106E00000X	Assistant Behavior Analyst
2	106S00000X	Behavior Technician
3	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1821768102
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FLORIDA AUTISM CENTER

Provider Business Mailing Address
First Line	:	300 INTERNATIONAL PKWY
Second Line	:
City	:	LAKE MARY
State	:	FL
Zip	:	32746-5035
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1535 W NASA BLVD UNIT C-1
Second Line	:
City	:	MELBOURNE
State	:	FL
Zip	:	32901-2614
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	:	09/17/2021
Last Update Date	:	11/10/2022

Similar Medicare Providers

1922962489 — SHEMEIKA CARESSE PERRY
Practice Location Address:

1535 W NASA BLVD UNIT C-1
MELBOURNE, FL
32901-2614

Practice Phone: 321-235-6199
Practice Fax:

1861518656 — MRS. SANDY DIXON
Practice Location Address:

1535 W NASA BLVD # C-1
MELBOURNE, FL
32901-2614

Practice Phone: 321-235-6199
Practice Fax:

1548751993 — ERICA LEE DAVIS M.S. BCBA
Practice Location Address:

1535 W NASA BLVD UNIT C-1
MELBOURNE, FL
32901-2614

Practice Phone: 321-235-6199
Practice Fax: 321-821-1975

1508423674 — MS. BRANDI N BEST BCBA
Practice Location Address:

1535 W NASA BLVD # C-1
MELBOURNE, FL
32901-2614

Practice Phone: 321-235-6199
Practice Fax:

1497339410 — MR. GARRETT LAMB
Practice Location Address:

1535 W NASA BLVD STE 100
MELBOURNE, FL
32901-2614

Practice Phone: 321-235-6199
Practice Fax:

1821753351 — LAUREN-NOEL SISON FISHER
Practice Location Address:

1535 W NASA BLVD UNIT C-1
MELBOURNE, FL
32901-2614

Practice Phone: 321-426-7759
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.