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Organization
EASTERSEALS NORTHEAST CENTRAL FLORIDA
Active
Organization
EASTERSEALS NORTHEAST CENTRAL FLORIDA
Active
Other names
Easter Seals of Volusia and Flagler
Organization subpart
No
Provider details
NPI number
Authorized official
BEERLY JOHNSON (CHIEF EXECUTIVE OFFICER)
(386) 255-4568
Entity
Organization
Contact information
Practice address
1219 DUNN AVE, DAYTONA BEACH, FL 32114
(386) 255-4568
(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
03/07/2018
Last updated
04/03/2023
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