NPIMap

Organization Active NPI

Florida Autism Center

  • Behavior Analyst
  • Jacksonville, FL
National Provider Identifier
1386163004
Registry record updated Nov 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
FLORIDA AUTISM CENTER
Practice address
13553 Atlantic Blvd
Jacksonville, FL 32225-3256
Phone
(866) 610-0580
Fax
(407) 588-6294
NPI assigned
Sep 13, 2017
Last updated
Nov 7, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
FLORIDA AUTISM CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 7, 2022

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

Authorized official

Name
Jason Owen
Title
Ceo
Phone
(470) 816-6449

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Primary
Assistant Behavior Analyst 106E00000X
Behavior Technician 106S00000X

Addresses

Primary practice location

13553 Atlantic Blvd
Jacksonville, FL 32225-3256

Mailing address

300 International Pkwy Ste 200
Lake Mary, FL 32746-5028
Phone (470) 816-6449

National Provider Directory

National Provider Directory
Tax ID family
Florida Autism Center81 organizations share this tax ID, including this one
Part of
Florida Autism Center

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

13553 Atlantic Blvd
Jacksonville, FL 32225
Phone (904) 420-7030

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1505260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667779200000",
    "number": "1386163004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 INTERNATIONAL PKWY STE 200",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327465028",
            "telephone_number": "470-816-6449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13553 ATLANTIC BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322253256",
            "telephone_number": "866-610-0580",
            "fax_number": "407-588-6294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA AUTISM CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FLORIDA AUTISM CENTER",
        "enumeration_date": "2017-09-13",
        "last_updated": "2022-11-07",
        "certification_date": "2022-05-31",
        "status": "A",
        "authorized_official_last_name": "OWEN",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "470-816-6449"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2022; 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.