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Organization
EASTERSEALS NORTHEAST CENTRAL FLORIDA, INC.
Active
Organization
EASTERSEALS NORTHEAST CENTRAL FLORIDA, INC.
Active
Parent organization
EASTERSEALS NORTHEAST CENTRAL FLORIDA, INC.
Other names
Easterseals Northeast Central Florida, Inc.
Organization subpart
Yes
Provider details
NPI number
Legal business name
EASTERSEALS NORTHEAST CENTRAL FLORIDA, INC.
Authorized official
MICHELE WALLENS (ACCOUNTING MANAGER)
(386) 255-4568
Entity
Organization
Contact information
Practice address
160 CYPRESS POINT PKWY STE B205, PALM COAST, FL 32164-8437
(386) 878-4220
(386) 258-7677
Mailing address
1219 DUNN AVE, DAYTONA BEACH, FL 32114-2405
(386) 255-4568
(386) 258-7677
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/22/2024
Last updated
07/22/2024
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