JACKSONVILLE AUTISTIC SOCIETY NPI 1194452482

NPI Information

NPI: 1194452482
Provider Name: JACKSONVILLE AUTISTIC SOCIETY
Classification: Day Training, Developmentally Disabled Services - 251C00000X
Entity Type: Organization
Address: 1800 ATLANTIC BLVD STE 4
JACKSONVILLE, FL
ZIP 32207
Phone: (904) 532-3512

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NPI Details

JACKSONVILLE AUTISTIC SOCIETY is a day training developmentally disabled services in Jacksonville, FL. The provider is these agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. JACKSONVILLE AUTISTIC SOCIETY NPI is 1194452482. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1800 ATLANTIC BLVD STE 4
JACKSONVILLE, FL
ZIP 32207-404
Phone: (904) 532-3512

The provider's authorized official is Demetria Walker .
The authorized official title is President and has the following contact phone number (904) 415-8343.

The enumeration date for this NPI number is 8/5/2022 and was last updated on 8/11/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	172V00000X	Community Health Worker		No
2	183700000X	Pharmacy Technician		No
3	251K00000X	Public Health or Welfare		No
4	251B00000X	Case Management		No
5	251S00000X	Community/Behavioral Health		No
6	251V00000X	Voluntary or Charitable		No
7	252Y00000X	Early Intervention Provider Agency		No
8	261QD1600X	Clinic/Center	Developmental Disabilities	No
9	305S00000X	Point of Service		No
10	385H00000X	Respite Care		No
11	251C00000X	Day Training, Developmentally Disabled Services		Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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