Easterseals Northeast Central Florida, Inc.

Behavior Analyst · Bunnell, FL

Organization Active NPI

NPI number 1831963131

Practice location

3389 N State St Unit 1
Bunnell, FL 32110-4340
Phone
(386) 255-4568
Fax
(386) 258-7677

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NPI record

NPI
1831963131
Entity type
Organization (Type 2)
Enumeration date
November 8, 2023
Last updated
November 8, 2023
Certified
November 8, 2023
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Analyst Primary 103K00000X — —

Mailing address

1219 Dunn Ave
Daytona Beach, FL 32114-2405
Phone
(386) 944-7805
Fax
(386) 258-7677

Authorized official

Name
Michele Wallens
Title
Accounting Manager
Phone
(386) 255-4568

Other names

  • #mip

About Easterseals Northeast Central Florida, Inc.

Easterseals Northeast Central Florida, Inc. is a healthcare organization registered in the NPI registry with the primary taxonomy Behavior Analyst (code 103K00000X). The practice location is 3389 N State St Unit 1, Bunnell, FL 32110-4340. The NPI number 1831963131 was assigned on November 8, 2023 and the record was last updated on November 8, 2023.

The authorized official for this organization is Michele Wallens, Accounting Manager.

Frequently asked questions

What is the NPI number of Easterseals Northeast Central Florida, Inc.?

The NPI number is 1831963131.

What is the phone number of Easterseals Northeast Central Florida, Inc.?

The phone number listed for the practice location is (386) 255-4568.

Where is Easterseals Northeast Central Florida, Inc. located?

3389 N State St Unit 1, Bunnell, FL 32110-4340.

What is the taxonomy code for Easterseals Northeast Central Florida, Inc.?

The primary taxonomy code is 103K00000X – Behavior Analyst.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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