| Easterseals Northeast Central Florida, Inc. | |
|
160 Cypress Point Pkwy Ste B205 Palm Coast FL 32164-8437 | |
| (386) 878-4220 | |
| (386) 258-7677 |
| Full Name | Easterseals Northeast Central Florida, Inc. |
|---|---|
| Speciality | Behavior Analyst |
| Location | 160 Cypress Point Pkwy Ste B205, Palm Coast, Florida |
| Authorized Official Name and Position | Michele Wallens (ACCOUNTING MANAGER) |
| Authorized Official Contact | 3862554568 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Easterseals Northeast Central Florida, Inc. 1219 Dunn Ave Daytona Beach FL 32114-2405 Ph: (386) 255-4568 | Easterseals Northeast Central Florida, Inc. 160 Cypress Point Pkwy Ste B205 Palm Coast FL 32164-8437 Ph: (386) 878-4220 |
| NPI Number | 1538997556 |
|---|---|
| Provider Enumeration Date | 07/22/2024 |
| Last Update Date | 07/22/2024 |
| Certification Date | 07/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538997556 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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