Provider Demographics
NPI:1982087144
Name:UCF CENTER FOR AUTISM AND RELATED DISABILITIES
Entity Type:Organization
Organization Name:UCF CENTER FOR AUTISM AND RELATED DISABILITIES
Other - Org Name:UCF CARD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:DALY
Authorized Official - Last Name:BURNS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, BCBA-D
Authorized Official - Phone:407-823-6001
Mailing Address - Street 1:12424 RESEARCH PKWY
Mailing Address - Street 2:SUITE 365
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32826-3249
Mailing Address - Country:US
Mailing Address - Phone:407-823-6011
Mailing Address - Fax:407-823-6012
Practice Address - Street 1:12424 RESEARCH PKWY
Practice Address - Street 2:SUITE 365
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32826-3249
Practice Address - Country:US
Practice Address - Phone:407-823-6011
Practice Address - Fax:407-823-6012
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-07
Last Update Date:2015-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health