Florida Autism Center

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-13-12813 Issued in FL

Legal business name

FLORIDA AUTISM CENTER

Practice address

2013 Miccosukee Rd
Tallahassee, FL 32308-5307

Phone

(850) 391-6060

NPI assigned

Feb 28, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Todd Bullock

Title

Finance Manager

Phone

(850) 391-6060

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1362009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362009600000",
    "number": "1134469075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2013 MICCOSUKEE RD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2013 MICCOSUKEE RD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085307",
            "telephone_number": "850-391-6060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA AUTISM CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-28",
        "last_updated": "2013-02-28",
        "status": "A",
        "authorized_official_last_name": "BULLOCK",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "FINANCE MANAGER",
        "authorized_official_telephone_number": "850-391-6060"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-13-12813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tomas Flores III, M.D.
• Florida a&M University
• Florida Agriculture and Mechanical University
• Florida Agriculture and Mechanical University
• Florida Alliance for Assistive Services and Technology
• Florida Autism Center
• Florida Autism Center
• Florida Autism Center
• Florida Cancer Specialists & Research Institute, LLC
• Florida Cancer Specialists & Research Institute, LLC

• Behavior Analyst in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.