NPI 1790189264

Michelle Marie Hudimac, MED

Practitioner Early Intervention Provider Agency Daytona Beach, FL

Practice location

Address: 201 Thornberry Branch Ln, Daytona Beach, FL 32124-3652
Phone: (386) 872-4892
Mailing address: 3785 Maple Grove CT, Port Orange, FL 32129-8618

Registered specialties (2)

Early Intervention Provider Agency Primary

Agencies Taxonomy 252Y00000X

Other Early Intervention Provider Agency providers in Florida →

Behavior Technician

Behavioral Health & Social Service Providers Taxonomy 106S00000X

Other Behavior Technician providers in Florida →

Registry record

NPI: 1790189264
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Oct 2014
Record last updated: 8 Nov 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.