NPIMap

Organization Active NPI

Florida Autism Center

Doing business as Blue Sprig

  • Behavior Analyst
  • Lake Mary, FL
National Provider Identifier
1639320203
Registry record updated Nov 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
FLORIDA AUTISM CENTER
Doing business as
Blue Sprig
Fusion Autism Center
Practice address
791 Rinehart Rd
Lake Mary, FL 32746-4876
Phone
(407) 413-9550
NPI assigned
Oct 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary
Early Intervention Provider Agency 252Y00000X

Addresses

Primary practice location

791 Rinehart Rd
Lake Mary, FL 32746-4876

Mailing address

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

Other practice location 1

1708 Lexington Green Ln
Sanford, FL 32771-1018
Phone (407) 413-9550

Other names 2

  • Blue Sprig Doing business as
  • Fusion Autism Center Doing business as

National Provider Directory

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

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

1708 Lexington Green Ln
Sanford, FL 32771
Phone (609) 668-0584

3662 Cedarcrest Rd
Ste 220
Acworth, GA 30101
Phone (470) 531-0510

535 Riverstone Pkwy
Ste 101
Canton, GA 30114
Phone (470) 863-3090

137 Johnson Ferry Rd
Ste 2170
Marietta, GA 30068
Phone (470) 648-0510

3229 S Cherokee Ln
#1400
Woodstock, GA 30188
Phone (470) 499-2480

Practitioners & affiliated clinicians

Practitioners 134

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.

View all 134

NPI Registry JSON

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

{
    "created_epoch": "1222819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668038400000",
    "number": "1639320203",
    "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": "791 RINEHART RD",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327464876",
            "telephone_number": "407-413-9550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1708 Lexington Green Ln",
            "address_purpose": "LOCATION",
            "city": "Sanford",
            "state": "FL",
            "postal_code": "327711018",
            "country_code": "US",
            "telephone_number": "407-413-9550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FLORIDA AUTISM CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-01",
        "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": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blue Sprig",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "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 Lake Mary, FL

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.

Verify at the official NPI Registry.