NPIMap

Organization Active NPI

Florida Autism Center of Excellence, Inc.

  • Speech-Language Pathologist
  • Tampa, FL
National Provider Identifier
1861076531
Registry record updated Mar 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
FLORIDA AUTISM CENTER OF EXCELLENCE, INC.
Practice address
6310 E Sligh Ave
Tampa, FL 33617-9107
Phone
(813) 985-3223
Fax
(813) 985-3199
NPI assigned
May 10, 2021
Last updated
Mar 23, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2022

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

Authorized official

Name
Mr. Maynard Harvey
Title
Principal
Phone
(813) 985-3223

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 235Z00000X Primary
Local Education Agency (LEA) 251300000X

Addresses

Primary practice location

6310 E Sligh Ave
Tampa, FL 33617-9107

Mailing address

6310 E Sligh Ave
Tampa, FL 33617-9107
Phone (813) 985-3223

Other names 1

  • Florida autism center of excellence Former legal business name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address aquesenberry@faceprogram.org

National Provider Directory

National Provider Directory

Locations

6310 E Sligh Ave
Tampa, FL 33617
Phone (813) 985-3223

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1620604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647993600000",
    "number": "1861076531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6310 E SLIGH AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336179107",
            "telephone_number": "813-985-3223",
            "fax_number": "813-985-3199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6310 E SLIGH AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336179107",
            "telephone_number": "813-985-3223",
            "fax_number": "813-985-3199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA AUTISM CENTER OF EXCELLENCE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-10",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A",
        "authorized_official_last_name": "HARVEY",
        "authorized_official_first_name": "MAYNARD",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "813-985-3223",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aquesenberry@faceprogram.org",
            "affiliation": "N",
            "address_1": "6310 E Sligh Ave",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336179107",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Florida autism center of excellence",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.