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EASTERSEALS NORTHEAST CENTRAL FLORIDA
NPI 1417092461
Speech-Language Pathologist in Daytona Beach, FL

Active since February 20, 2007
1219 DUNN AVE, DAYTONA BEACH, FL 32114(386) 255-4568(386) 252-3403 Get Directions Write a Review

NPPES record last updated: May 29, 2018. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Easterseals Northeast Central Florida NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EASTERSEALS NORTHEAST CENTRAL FLORIDA (NPI 1417092461) is a healthcare organization registered as a speech-language pathologist in Daytona Beach, Florida and active in the NPI registry since February 2007. The organization lists Beverly Johnson, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1417092461
Entity TypeOrganization
Primary Taxonomy235Z00000X
Legal Business NameEASTERSEALS NORTHEAST CENTRAL FLORIDA
Location Address1219 DUNN AVEDaytona Beach, FL 32114
Mailing Address1219 Dunn AveDaytona Beach, FL 32114-2405 · (386) 255-4568 · Fax (386) 252-3403
Phone(386) 255-4568
Fax(386) 252-3403
Organization SubpartNo
Authorized OfficialBeverly JohnsonChief Executive Officer · (386) 255-4568
Enumeration DateFebruary 20, 2007
Last NPPES UpdateMay 29, 2018
✔ NPI 1417092461 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
1219 DUNN AVE, Daytona Beach, FL 32114
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARISSA MARTORAL
Physical Therapist
1219 DUNN AVE
DAYTONA BEACH, FL 32114
Volusia County (386) 255-4568
BREANNA NICOLE REITANO
Occupational Therapy Assistant
1219 DUNN AVE
DAYTONA BEACH, FL 32114
Volusia County (386) 214-9238
WENDY TAVADIA
Assistant Behavior Analyst
1219 DUNN AVE
DAYTONA BEACH, FL 32114
Volusia County (386) 255-4568
REBECCA ROBERTS RBT
Behavior Technician
1219 DUNN AVE
DAYTONA BEACH, FL 32114
Volusia County (386) 453-6147
ANGELICA LEE MCCRANEY
Behavior Technician
1219 DUNN AVE
DAYTONA BEACH, FL 32114
Volusia County (386) 255-4568
DEIDRE ANN SHIMP OCCUPATIONAL THERAPY
Occupational Therapist
1219 DUNN AVE
DAYTONA BEACH, FL 32114
Volusia County (386) 255-4568
EASTERSEALS NORTHEAST CENTRAL FLORIDA, INC.
Early Intervention Provider Agency
1219 DUNN AVE
DAYTONA BEACH, FL 32114
Volusia County (386) 944-7805
BAPTIST SPECIALTY PHYSICIANS INC
Pediatrics (Pediatric Cardiology)
1219 DUNN AVE
DAYTONA BEACH, FL 32114
Volusia County (904) 202-8550

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Easterseals Northeast Central Florida's NPI number?

The NPI number for Easterseals Northeast Central Florida is 1417092461. It was assigned to this organization in the NPPES registry on February 20, 2007.

Where is Easterseals Northeast Central Florida located?

Easterseals Northeast Central Florida is located at 1219 Dunn Ave, Daytona Beach, FL 32114. The listed phone number is (386) 255-4568.

What is Easterseals Northeast Central Florida's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Easterseals Northeast Central Florida was last updated on May 29, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.