Jacksonville Autistic Society

LBN: Jacksonville Autistic Society
Jacksonville Autistic Society is an health care organization with primary practice located at 1800 Atlantic Blvd Ste 4 , Jacksonville FL 32207-3404. The organization recently has 11 registered licenses in different health care specialties including Other Service Providers / Community Health Worker, Pharmacy Service Providers / Pharmacy Technician, Agencies / Case Management, Agencies / Day Training, Developmentally Disabled Services, Agencies / Public Health or Welfare, Agencies / Community/Behavioral Health, Agencies / Voluntary or Charitable, Agencies / Early Intervention Provider Agency, Ambulatory Health Care Facilities / Developmental Disabilities, Managed Care Organizations / Point of Service, Respite Care Facility / Respite Care. Agencies / Day Training, Developmentally Disabled Services is the primary health care specialty. Jacksonville Autistic Society can be contacted via phone (904) 532-3512, or through Walker, Demetria via phone (904) 415-8343.

Contact Information

Primary practice address
1800 Atlantic Blvd Ste 4 Jacksonville FL 32207-3404
Phone: (904) 532-3512
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Walker, Demetria
Phone: (904) 415-8343

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X
Pharmacy Service Providers / Pharmacy Technician 183700000X
Agencies / Case Management 251B00000X
Agencies / Day Training, Developmentally Disabled Services 251C00000X
Agencies / Public Health or Welfare 251K00000X
Agencies / Community/Behavioral Health 251S00000X
Agencies / Voluntary or Charitable 251V00000X
Agencies / Early Intervention Provider Agency 252Y00000X
Ambulatory Health Care Facilities / Developmental Disabilities 261QD1600X
Managed Care Organizations / Point of Service 305S00000X
Respite Care Facility / Respite Care 385H00000X

Profile Details

NPI number 1194452482
LBN Legal business name Jacksonville Autistic Society
DBA Doing business as
Authorized official Walker, Demetria
Entity Organization
Organization subpart 1 No
Enumeration date Aug 5th, 2022
Last updated Aug 11th, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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