# EASTERSEALS NORTHEAST CENTRAL FLORIDA, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Easter Seals Early Steps
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780099523
- **Authorized official:** MS. BEVERLY JOHNSON (PRESIDENT)
- **Authorized official phone:** (386) 944-7818

## Contact information

- **Practice address:** 1219 DUNN AVE, DAYTONA BEACH, FL 32114
- **Practice address phone:** (386) 255-4568
- **Practice address fax:** (386) 258-7677
- **Mailing address:** 1219 DUNN AVE, DAYTONA BEACH, FL 32114-2405
- **Mailing address phone:** (386) 255-4568
- **Mailing address fax:** (386) 258-7677

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |
| 252Y00000X | Early Intervention Provider Agency | — | NULL | — |

## Other

- **Enumeration date:** 06/30/2014
- **Last updated:** 04/03/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 012324200 | — | FL |
| 05 | — | 12297200 | — | FL |
| 05 | — | 1881898559 | — | FL |