FLORIDA AUTISM CENTER (NPI# 1265071955) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265071955 |
| Entity Type | Organization |
| Organization Name | FLORIDA AUTISM CENTER |
| Practice Address |
3850 Holcomb Bridge Rd Ste 180 Norcross GA 30092-5223 |
| Mailing Address |
300 International Pkwy Ste 200 Lake Mary FL 32746-5028 |
| Practice Telephone | 8666100590 |
| Mailing Telephone | 8666100590 |
| Enumeration Date | 2019-12-30 |
| Last Update Date | 2019-12-30 |
| Authorized Official Name | KRISTY ROHWEDDER (CEO) |
| Authorized Official Telephone | 8666100590 |
| 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 |
| 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 |
| 1245899574 | Florida Autism Center | Assistant Behavior Analyst | 535 Riverstone Pkwy Ste 101, Canton, GA 30114-2566 | 2019-06-11 |
| 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 |
3850 HOLCOMB BRIDGE RD STE 180 |
| City | NORCROSS |
| State | GA |
| Zip Code | 30092-5223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083172035 | Tebo Dentistry for Kids Peachtree Corners, LLC | Clinic/Center | 6460 Spalding Drive, Suite C, Peachtree Corners, GA 30092 | 2019-03-08 |
| 1043794472 | Cai Hong Senior Services Inc | Clinic/Center | 4093 Spalding Hollow, Peatree Corners, GA 30092 | 2018-09-21 |
| 1952810566 | Children In Motion Therapy Services LLC | Occupational Therapist | 5655 Peachtree Pkwy Ste 117, Norcross, GA 30092 | 2017-09-26 |
| 1922517945 | Infinity Wellness Solutions LLC | Emergency Medicine | 3240 Pointe Parkway, Suite 100, Norcross, GA 30092 | 2017-09-21 |
| 1346769593 | Global Diagnostic Labs, LLC | Pathology | 3240 Pointe Pkwy Ste 200, Norcross, GA 30092 | 2017-09-19 |
| 1467993345 | Boris Mcguire Day | Counselor | 3597 Monticello Commons, Norcross, GA 30092 | 2017-03-13 |
| 1598205239 | Iwc East LLC | Internal Medicine | 40 Technology Parkway, #300, Norcross, GA 30092 | 2017-02-28 |
| 1851744254 | Lms Surgical Services | Specialist/Technologist, Other | 6050 Peachtree Pkwy Suite240-358, Norcross, GA 30092 | 2016-07-20 |
| 1881085603 | A Hand To Hold | Home Health | 3459 Holcomb Bridge Rd., Suite 100, Peachtree Corners, GA 30092 | 2015-02-16 |
| 1790196467 | Wranglehurst, P.C. | Dentist | 3850 Holcomb Br. Rd, Suite 230, Norcross, GA 30092 | 2014-05-15 |
| Find all providers in zip 30092 | ||||
| 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 |
|---|---|---|---|---|
| 1194246538 | Natalie Faye Hansen | Behavioral Analyst | 3070 Business Park Dr Ste B, Norcross, GA 30071-1428 | 2017-07-06 |
| 1033639778 | Anna Milligan | Behavioral Analyst | 3070 Business Park Dr, Norcross, GA 30071-5404 | 2017-06-23 |
| 1487065256 | Courtney Norris | Behavioral Analyst | 1650 Oakbrook Dr Ste 445, Norcross, GA 30093-1817 | 2014-05-15 |
| 1184928889 | Tiffany Lenoir | Behavioral Analyst | 3850 Holcomb Bridge Rd Ste 185, Norcross, GA 30092-5223 | 2011-01-10 |
| 1336471960 | Manuela Woodruff | Behavioral Analyst | 6151 Dove Field Ct, Norcross, GA 30092-1309 | 2010-02-07 |
| 1043819956 | Nicole Varkey | Behavioral Analyst | 3070 Business Park Dr Ste B, Norcross, GA 30071-1428 | 2020-10-21 |
| 1619594652 | Kristen Amber Baldwin | Behavioral Analyst | 6151 Dove Field Ct, Norcross, GA 30092-1309 | 2020-06-25 |
| 1366908642 | Tiffani S Warren | Behavioral Analyst | 6151 Dove Field Ct, Norcross, GA 30092-1309 | 2019-02-12 |
| 1760834709 | Crystal Phillips | Behavioral Analyst | 6151 Dove Field Ct, Norcross, GA 30092-1309 | 2016-07-01 |
| 1790056786 | Applied Behavioral Consutling, LLC | Behavioral Analyst | 6151 Dove Field Ct, Norcross, GA 30092-1309 | 2012-01-23 |
| Find all providers in NORCROSS | ||||
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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.