| NPI | 1861076531 |
|---|---|
| Former Legal Business Name | FLORIDA AUTISM CENTER OF EXCELLENCE |
| Entity Type | Organization |
| Authorized Contact | MAYNARD HARVEY Principal 813-985-3223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 251300000X Local Education Agency (LEA) |
| Enumeration Date | 2021-05-10 |
| Last Update Date | 2022-03-23 |