SOUTHLAKE AUTISM AND BEHAVIOR SERVICES, PA
NPI 1396017414
Community/Behavioral Health in Clermont, FL

Q: What is Southlake Autism And Behavior Services, PA's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Active since February 05, 2012

350 ACCEPTANCE WAY, CLERMONT, FL 34711(352) 223-1999 Get Directions Write a Review

NPPES record last updated: May 5, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 5, 2021, Jan 21, 2019, Jan 16, 2019 (3 updates tracked since 2019).

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About Southlake Autism And Behavior Services, Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHLAKE AUTISM AND BEHAVIOR SERVICES, PA (NPI 1396017414) is a healthcare organization registered as a community/behavioral health in Clermont, Florida and active in the NPI registry since February 2012. The organization maintains a secondary practice location in Clermont and lists Terri Howard, Clinical Director/behavior Analyst, as its authorized official.

NPPES Registry Identity

NPI1396017414

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameSOUTHLAKE AUTISM AND BEHAVIOR SERVICES, PA

Location Address350 ACCEPTANCE WAYClermont, FL 34711

Mailing Address13201 Sugarbluff RdClermont, FL 34715-6819 · (352) 978-5903 · Fax (352) 600-3119

Phone(352) 223-1999

Organization SubpartNo

Authorized OfficialTerri HowardClinical Director/behavior Analyst · (352) 223-1999

Enumeration DateFebruary 5, 2012

Last NPPES UpdateMay 5, 20213 updates tracked since enumeration

NPPES CertifiedApril 7, 2021

✔ NPI 1396017414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

License✔ Licensed in FL · 0-11-4087

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Also ListedCase ManagementTaxonomy 251B00000X · License 0-11-4087 (FL)

Also ListedDay Training, Developmentally Disabled ServicesTaxonomy 251C00000X · License 0-11-4087 (FL)

Also ListedEarly Intervention Provider AgencyTaxonomy 252Y00000X · License 0-11-4087 (FL)

Also ListedIn Home Supportive CareTaxonomy 253Z00000X · License 0-11-4087 (FL)

350 ACCEPTANCE WAY, Clermont, FL 34711

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Secondary Practice Location 1

Location 1365 Citrus Tower Blvd Ste 106Clermont, FL 34711-6532 · Phone (352) 223-1999 · Fax (352) 600-3119

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida.Insurance ›

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KIRKLYN N BRADBERRY

Behavior Technician