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FLORIDA AUTISM CENTER NPI 1497123897


NPI Information

NPI: 1497123897
Provider Name: FLORIDA AUTISM CENTER
Classification: Behavior Analyst - 103K00000X
Entity Type: Organization
Address:
515 PALM COAST PKWY SW
PALM COAST, FL
ZIP 32137
Phone: (386) 951-3044
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FLORIDA AUTISM CENTER is a behavior analyst in Palm Coast, FL. The provider is a behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. FLORIDA AUTISM CENTER NPI is 1497123897. The provider is registered as an organization entity type.

The provider's business location address is:

515 PALM COAST PKWY SW
PALM COAST, FL
ZIP 32137-739
Phone: (386) 951-3044

The provider's authorized official is John Hennegan .
The authorized official title is Chairman and has the following contact phone number (312) 348-7572.

The enumeration date for this NPI number is 9/2/2015 and was last updated on 11/21/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1252Y00000XEarly Intervention Provider AgencyNo
2251S00000XCommunity/Behavioral HealthNo
3106E00000XAssistant Behavior AnalystNo
4106S00000XBehavior TechnicianNo
5103K00000XBehavior AnalystYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
19093700MEDICAIDFLORIDA

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: 11/14/2023

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