Provider Demographics
NPI:1033539929
Name:AUTISM SCHOOL AND TREATMENT CENTER OF OCAA
Entity Type:Organization
Organization Name:AUTISM SCHOOL AND TREATMENT CENTER OF OCAA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:FEDERICO
Authorized Official - Middle Name:
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:BEHAVIOR ASSISTANT
Authorized Official - Phone:352-299-3369
Mailing Address - Street 1:2411 SE 23RD ST
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471-8224
Mailing Address - Country:US
Mailing Address - Phone:352-299-3369
Mailing Address - Fax:
Practice Address - Street 1:2411 SE 23RD ST
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-8224
Practice Address - Country:US
Practice Address - Phone:352-299-3369
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-18
Last Update Date:2014-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty