First Coast Autism, LLC
Phone: 386-251-3350
Fax: 866-247-1790
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Description
Apply for Service
Service Areas
Apply for Employment
Funding
Contact
Schedule Consultation
Video Overview of ABA
Please provide as much detail as possible to help us more efficiently respond to your request for service.
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Please Select Funding Source
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Tricare
Medicaid
PLSA / Gardiner Scholarship
Private Pay
Other
Client has a Qualifying Diagnosis such as ASD?
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YES
NO
Assessments Underway
Parent/Guardian Contact Info
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Last
Parent/Guardian Phone
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Parent/Guardian Email
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Client Information
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Last
Client's Service Area
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Volusia County - Daytona
Volusia County - Deltona
Palm Coast
St. Augustine
Jacksonville - Orange Park
Client's Age Range
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1 years to 2 years
3 years to 5 years
6 years to 10
11 years to 14 years
15 years to 17 years
Adult
Client's School or Work Status
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Student - Private School
Student - Public School
Employed - Full Time
Employed - Part Time
Additional Information
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