NPI 1952089187

Kathleen Fulks

Practitioner Early Intervention Provider Agency Daytona Beach, FL

Practice location

Address: 210 S Beach St STE 200, Daytona Beach, FL 32114-4433
Phone: (386) 898-6040
Fax: (386) 256-2320

Registered specialties (3)

Early Intervention Provider Agency Primary

Agencies Taxonomy 252Y00000X

Other Early Intervention Provider Agency providers in Florida →

Speech-Language Assistant

Speech, Language and Hearing Service Providers Taxonomy 2355S0801X Licence S17831 (FL)

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Behavior Technician

Behavioral Health & Social Service Providers Taxonomy 106S00000X Licence RBT-23-28263 (FL)

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Registry record

NPI: 1952089187
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Jul 2023
Record last updated: 19 Sep 2025

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.