Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Southlake Autism and Behavior Services, PA

Organization Case Management Agency · NPI 1396017414

Southlake Autism and Behavior Services, PA is a Case Management Agency in Clermont, Florida. Works from 2 locations. Licensed in Florida.

Licensed in
FL
In the registry since
2012
Specialties on file
5
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

350 Acceptance Way
Clermont, FL 34711
Phone: (352) 223-1999
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 365 Citrus Tower Blvd Ste 106, Clermont, FL 34711-6532 — (352) 223-1999

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X · Licence 0-11-4087 (FL)
Case Management Agency Taxonomy 251B00000X · Licence 0-11-4087 (FL)
Developmentally Disabled Services Day Training Agency Taxonomy 251C00000X · Licence 0-11-4087 (FL)
Early Intervention Provider Agency Taxonomy 252Y00000X · Licence 0-11-4087 (FL)
In Home Supportive Care Agency Taxonomy 253Z00000X · Licence 0-11-4087 (FL)

Record details

NPI number1396017414
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Terri Howard — Clinical Director/Behavior Analyst · (352) 223-1999
NPI enumeratedFebruary 5, 2012
Last updated in NPPESMay 5, 2021
Certification dateApril 7, 2021
Mailing address13201 Sugarbluff Rd, Clermont, FL 34715-6819

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