Provider Demographics
NPI:1801769310
Name:FLORIDA AUTISM CENTER
Entity type:Organization
Organization Name:FLORIDA AUTISM CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RBT
Authorized Official - Prefix:
Authorized Official - First Name:KRISTIN
Authorized Official - Middle Name:DANIELLE
Authorized Official - Last Name:STEACY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-635-2821
Mailing Address - Street 1:9390 HAWKS POINT DR
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32222-2818
Mailing Address - Country:US
Mailing Address - Phone:757-635-2821
Mailing Address - Fax:757-635-2821
Practice Address - Street 1:1567 KINGSLEY AVE STE 103
Practice Address - Street 2:
Practice Address - City:ORANGE PARK
Practice Address - State:FL
Practice Address - Zip Code:32073-4510
Practice Address - Country:US
Practice Address - Phone:904-602-9740
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-29
Last Update Date:2025-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Single Specialty