Southlake Autism and Behavior Services, PA

NPI #1396017414 in Clermont, Florida

Provider Information

NPI Number: 1396017414
Entity Type: Organization
Organization Name: Southlake Autism and Behavior Services, PA
Primary Specialty: Community/Behavioral Health
Enumeration Date: Feb 5, 2012
Last Updated: May 5, 2021

Practice Location

Address: 350 ACCEPTANCE WAY
City: Clermont
State: Florida
ZIP Code: 34711
Phone: (352) 223-1999

Authorized Official

Name: MRS. TERRI HOWARD, BCBA
Title: CLINICAL DIRECTOR/BEHAVIOR ANALYST
Phone: (352) 223-1999

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Day Training, Developmentally Disabled Services	251C00000X
Early Intervention Provider Agency	252Y00000X
In Home Supportive Care	253Z00000X
Case Management	251B00000X
Community/Behavioral Health	251S00000X	Primary

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