Active NPI
Florida Autism Center
Doing business as Fusion Autism Center
- Behavior Analyst
- Peachtree City, GA
National Provider Identifier
1497226559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Legal business name
- FLORIDA AUTISM CENTER
- Doing business as
- Fusion Autism Center
- Practice address
- 100 Governors Trce Ste 100
Peachtree City, GA 30269-4856 - Phone
- (866) 610-0580
- NPI assigned
- Dec 16, 2018
- Last updated
- Nov 10, 2022
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | NU | Primary | |
| Assistant Behavior Analyst | 106E00000X | NU | ||
| Behavior Technician | 106S00000X | NU |
Addresses
Primary practice location
100 Governors Trce Ste 100
Peachtree City, GA 30269-4856
Mailing address
300 International Pkwy Ste 200
Lake Mary, FL 32746-5028
Phone (470) 816-6449
Other names 1
- Fusion Autism Center
National Provider Directory
National Provider Directory- Tax ID family
- Florida Autism Center
Organizations with this tax ID in the same state 23
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Behavior Analyst
- Augusta, GA
- NPI 1295464188
Locations
100 Governors Trce
Ste 100
Peachtree City, GA 30269
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1544918400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1668038400000",
"number": "1497226559",
"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": "100 GOVERNORS TRCE STE 100",
"city": "PEACHTREE CITY",
"state": "GA",
"postal_code": "302694856",
"telephone_number": "866-610-0580"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FLORIDA AUTISM CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2018-12-16",
"last_updated": "2022-11-10",
"certification_date": "2022-11-10",
"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": "NU",
"license": null,
"primary": true
},
{
"code": "106E00000X",
"taxonomy_group": "",
"desc": "Assistant Behavior Analyst",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Fusion Autism Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Fusion Autism Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Peachtree City, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.