ATLAS ACADEMY INC NPI 1619653318

NPI Information

NPI: 1619653318
Provider Name: ATLAS ACADEMY, INC
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
1621 ESPANOLA AVE
DAYTONA BEACH, FL
ZIP 32117
Phone: (386) 283-0553
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ATLAS ACADEMY, INC is a multi-specialty clinic center in Daytona Beach, FL. ATLAS ACADEMY, INC NPI is 1619653318. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1621 ESPANOLA AVE
DAYTONA BEACH, FL
ZIP 32117-745
Phone: (386) 283-0553
Fax: (386) 220-8281

The provider's authorized official is Melissa Ann Mossford-carroll .
The authorized official title is Ceo and has the following contact phone number (386) 316-3004.

The enumeration date for this NPI number is 6/26/2023 and was last updated on 6/26/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	101YM0800X	Counselor	Mental Health	No
2	103K00000X	Behavior Analyst		No
3	106E00000X	Assistant Behavior Analyst		No
4	106S00000X	Behavior Technician		No
5	261QM1300X	Clinic/Center	Multi-Specialty	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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