FLORIDA AUTISM CENTER (NPI# 1245899574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245899574 |
| Entity Type | Organization |
| Organization Name | FLORIDA AUTISM CENTER |
| Practice Address |
535 Riverstone Pkwy Ste 101 Canton GA 30114-2566 |
| Mailing Address |
300 International Pkwy Ste 200 Lake Mary FL 32746-5028 |
| Practice Telephone | 8666100580 |
| Practice Fax Number | 4075886294 |
| Mailing Telephone | 8888606368 |
| Mailing Fax Number | 4075886294 |
| Enumeration Date | 2019-06-11 |
| Last Update Date | 2019-06-11 |
| Authorized Official Name | KRISTY ROHWEDDER (CEO) |
| Authorized Official Telephone | 4077483665 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 106E00000X | Assistant Behavior Analyst | Behavioral Health & Social Service Providers | ||
| N | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers | ||
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Fusion Autism Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245862119 | Florida Autism Center | Assistant Behavior Analyst | 105 Grand Central Blvd Ste 101, Pooler, GA 31322-4146 | 2020-02-10 |
| 1265071955 | Florida Autism Center | Assistant Behavior Analyst | 3850 Holcomb Bridge Rd Ste 180, Norcross, GA 30092-5223 | 2019-12-30 |
| 1093358541 | Florida Autism Center | Assistant Behavior Analyst | 1220 Sherwood Park Dr Ne, Gainesville, GA 30501-3445 | 2019-10-28 |
| 1457994907 | Florida Autism Center | Assistant Behavior Analyst | 5328 Lanier Islands Pkwy, Buford, GA 30518-9071 | 2019-10-28 |
| 1033751888 | Florida Autism Center | Behavior Technician | 6375 Mcginnis Ferry Rd Ste 202, Johns Creek, GA 30005-3617 | 2019-10-14 |
| 1912551730 | Florida Autism Center | Assistant Behavior Analyst | 115 N Park Trl Ste 123, Stockbridge, GA 30281-7373 | 2019-07-30 |
| 1497226559 | Florida Autism Center | Assistant Behavior Analyst | 100 Governors Trce Ste 100, Peachtree City, GA 30269-4856 | 2018-12-16 |
| 1396231411 | Florida Autism Center | Behavioral Analyst | 2389 Oak Myrtle Lane, Wesley Chapel, FL 33544 | 2018-07-02 |
| 1942743018 | Florida Autism Center | Assistant Behavior Analyst | 1563 Kingsley Ave, Suite 103, Orange Park, FL 32073-4503 | 2016-11-22 |
| 1730622804 | Florida Autism Center | Assistant Behavior Analyst | 10920 Moss Park Road, Suite 130, Orlando, FL 32832 | 2016-11-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | FLORIDA AUTISM CENTER OF EXCELLENCE, INC. | 6310 E Sligh Ave, Tampa, FL 33617-9107 |
| Street Address |
535 RIVERSTONE PKWY STE 101 |
| City | CANTON |
| State | GA |
| Zip Code | 30114-2566 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396346938 | Haley Williams | Behavior Technician | 535 Riverstone Pkwy Ste 101, Canton, GA 30114-2566 | 2020-11-02 |
| 1760096754 | Abigail Elizabeth Jones | Behavior Technician | 535 Riverstone Pkwy Ste 101, Canton, GA 30114-2566 | 2020-09-07 |
| 1639797806 | Bronte M Pruitt | Behavior Technician | 535 Riverstone Pkwy Ste 101, Canton, GA 30114-2566 | 2020-07-13 |
| 1306463039 | Alexis Kathleen Snyder | Behavior Technician | 535 Riverstone Pkwy Ste 101, Canton, GA 30114-2566 | 2020-06-29 |
| 1275155988 | Krista Whaley | Behavior Technician | 535 Riverstone Pkwy Ste 101, Canton, GA 30114-2566 | 2020-05-15 |
| 1629604251 | Joshua V Swain | Behavior Technician | 535 Riverstone Pkwy Ste 101, Canton, GA 30114-2566 | 2020-03-16 |
| 1477186609 | Tia Marie Mitcheltree | Behavior Technician | 535 Riverstone Pkwy Ste 101, Canton, GA 30114-2566 | 2020-02-17 |
| 1528699642 | Kaitlynn Shaye Loyd | Behavior Technician | 535 Riverstone Pkwy Ste 101, Canton, GA 30114-2566 | 2020-01-28 |
| 1598304750 | Lacey Baynes | Behavioral Analyst | 535 Riverstone Pkwy Ste 101, Canton, GA 30114-2566 | 2020-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619516093 | Wickshire Canton Opco LLC | Assisted Living Facility | 125 Riverstone Terrace, Canton, GA 30114 | 2020-01-02 |
| 1154803583 | Alixandra Nicole Flournoy | Physical Therapist | 131 Holly Street, Canton, GA 30114 | 2018-09-01 |
| 1588157341 | Provident Group - Canton Cove Properties LLC | Alzheimer Center (Dementia Center) | 1100 Reinhardt College Parkway, Canton, GA 30114 | 2018-06-07 |
| 1003233107 | Heartland Dental Care of Georgia | Dentist | 3237 Sixes Rd, Canton, GA 30114 | 2014-03-26 |
| 1730510959 | Joseph Optical | Eyewear Supplier (Equipment, not the service) | 1455 Riverstone Pkwy Suite 110, Canton, GA 30114 | 2013-12-13 |
| 1629313036 | Ramona Morton Rasmussen | Occupational Therapist | 200 Riverstone Drive, Suite B, Canton, GA 30114 | 2012-12-11 |
| 1902154875 | Yong Qiao Luo | Acupuncturist | 200 Oakside Lane, Suite D, Canton, GA 30114 | 2012-08-26 |
| 1215294350 | Christina Lynn Hernandez | Pediatrics | 1558 Riverstone Pkwy Ste 100, Canton, GA 30114 | 2012-04-13 |
| 1558638981 | Stephen E Byrd | Counselor | 191 Lamar Haley Pkwy., Canton, GA 30114 | 2011-11-30 |
| 1073807855 | Sheri Sullins Buckley | Nurse Practitioner | 120 Oakside Ct Ste H, Canton, GA 30114 | 2011-06-08 |
| Find all providers in zip 30114 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831663947 | Samantha Ackerman | Behavioral Analyst | 535 Riverstone Parkway Suite 101, Canton, GA 30114-2566 | 2019-01-11 |
| 1306324702 | Michael B Carrauthers | Behavioral Analyst | 337 Sylvan Dr, Canton, MI 48188-1596 | 2018-07-30 |
| 1669975579 | Bethany Oliver Craig | Behavioral Analyst | 3281 Mills Ridge Dr, Canton, GA 30114-7103 | 2018-03-16 |
| 1801303623 | A New Approach, Pllc | Behavioral Analyst | 1017 Turnpike St Ste 13, Canton, MA 02021-2828 | 2018-01-02 |
| 1487009981 | Deirdre A O'donnell | Behavioral Analyst | 2 Steeplechase Ln, Canton, MA 02021-1748 | 2016-05-03 |
| 1346615424 | Leanne Fontana Mailman | Behavioral Analyst | 16 Spoonwood Dr, Canton, CT 06019-2452 | 2015-12-01 |
| 1437536638 | Amanda Lawyer | Behavioral Analyst | 264 Harvard St, Canton, MI 48188-1025 | 2015-04-27 |
| 1336532969 | Amy Laura Brown | Behavioral Analyst | 140 E Marietta St Ste 301, Canton, GA 30114-3002 | 2015-03-06 |
| 1780081356 | Kendall Behavioral Services LLC | Behavioral Analyst | 5900 N Lilley Rd Ste 104, Canton, MI 48187-3695 | 2014-11-26 |
| 1558790048 | Deborah Hodgdon | Behavioral Analyst | 128 Market Ln, Canton, GA 30114-4547 | 2013-11-05 |
| Find all providers in CANTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.