Southeastern Autism Center LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

SOUTHEASTERN AUTISM CENTER LLC

Practice address

3884 Bannock Ave
Tavares, FL 32778-9201

Phone

(315) 569-1112

NPI assigned

May 22, 2025

Last updated

May 22, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Miss Anne Fletcher, M.ED., BCBA

Title

Bcba

Phone

(315) 569-1112

Specialties & licenses 1

Addresses

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.

• Anne B Martin

  • Behavior Analyst
  • Tavares, FL
  • NPI 1023723582
  NPD

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

{
    "created_epoch": "1747872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747872000000",
    "number": "1700679800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3884 BANNOCK AVE",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327789201",
            "telephone_number": "315-569-1112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3884 BANNOCK AVE",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327789201",
            "telephone_number": "315-569-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEASTERN AUTISM CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-22",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A",
        "authorized_official_last_name": "FLETCHER",
        "authorized_official_first_name": "ANNE",
        "authorized_official_title_or_position": "BCBA",
        "authorized_official_telephone_number": "315-569-1112",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "M.ED., BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas A Smith, M.S.
• Patricia Irene Snoots
• Jacquelyn Soley
• Rachel Milkman Solomon, MD
• Candice Galnares Soto, MSN, FNP-BC
• Wilma Batista de Souza, APRN, CWS
• Sowka Psychotherapy & Consultation LLC
• Melinda May Sowka, LMHC
• Spa Chiropractic LLC
• Speech and Occupational Specialists, LLC

• Behavior Analyst in Tavares, FL
• Providers in Tavares, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2025; 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.