Active NPI
Florida Autism Center
- Behavior Analyst
- Watkinsville, GA
National Provider Identifier
1568016384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Legal business name
- FLORIDA AUTISM CENTER
- Practice address
- 1360 Caduceus Way Ste 101
Watkinsville, GA 30677-7300 - Phone
- (866) 610-1590
- NPI assigned
- Jul 30, 2019
- 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 | Primary | ||
| Assistant Behavior Analyst | 106E00000X | |||
| Behavior Technician | 106S00000X |
Addresses
Primary practice location
1360 Caduceus Way Ste 101
Watkinsville, GA 30677-7300
Mailing address
300 International Pkwy Ste 200
Lake Mary, FL 32746-5028
National Provider Directory
National Provider Directory- Tax ID family
- Florida Autism Center
Organizations with this tax ID in the same state 19
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564444800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1668038400000",
"number": "1568016384",
"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"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1360 CADUCEUS WAY STE 101",
"city": "WATKINSVILLE",
"state": "GA",
"postal_code": "306777300",
"telephone_number": "866-610-1590"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FLORIDA AUTISM CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2019-07-30",
"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": 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 Watkinsville, 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.