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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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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 License Number License State Primary
1172V00000XCommunity Health WorkerNo
2183700000XPharmacy TechnicianNo
3251K00000XPublic Health or WelfareNo
4251B00000XCase ManagementNo
5251S00000XCommunity/Behavioral HealthNo
6251V00000XVoluntary or CharitableNo
7252Y00000XEarly Intervention Provider AgencyNo
8261QD1600XClinic/CenterDevelopmental DisabilitiesNo
9305S00000XPoint of ServiceNo
10385H00000XRespite CareNo
11251C00000XDay Training, Developmentally Disabled ServicesYes

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.