Active NPI
Florida Autism Center
Doing business as Fusion Autism Center
- Behavior Analyst
- Acworth, GA
National Provider Identifier
1699322321
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
- 3662 Cedarcrest Rd Ste 220
Acworth, GA 30101-8765 - Phone
- (866) 610-0590
- NPI assigned
- Aug 19, 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
3662 Cedarcrest Rd Ste 220
Acworth, GA 30101-8765
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 17
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
-
- Behavior Analyst
- Watkinsville, GA
- NPI 1568016384
Locations
3662 Cedarcrest Rd
Ste 220
Acworth, GA 30101
Phone (470) 531-0510
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Behavior Analyst
- Jacksonville, FL
- NPI 1396996633
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566172800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1668038400000",
"number": "1699322321",
"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": "3662 CEDARCREST RD STE 220",
"city": "ACWORTH",
"state": "GA",
"postal_code": "301018765",
"telephone_number": "866-610-0590"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FLORIDA AUTISM CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2019-08-19",
"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 MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
},
{
"code": "106E00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Assistant Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Behavior Technician",
"state": null,
"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 Acworth, 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.