1. Home
  2. Directory
  3. Florida
  4. Daytona Beach
  5. Pediatrics
  6. NPI Profile

EASTERSEALS NORTHEAST CENTRAL FLORIDA, INC.
NPI 1699407015
Pediatrics - Developmental - Behavioral Pediatrics in Daytona Beach, FL

Active since June 24, 2022
1219 DUNN AVE, DAYTONA BEACH, FL 32114(386) 944-7805 Get Directions Write a Review

NPPES record last updated: June 24, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Easterseals Northeast Central Florida, Inc. NPPES

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

EASTERSEALS NORTHEAST CENTRAL FLORIDA, INC. (NPI 1699407015) is a healthcare organization registered as a developmental - behavioral pediatrics in Daytona Beach, Florida and active in the NPI registry since June 2022. The organization lists Michele Wallens, Accounting Manager, as its authorized official.

NPPES Registry Identity

NPI1699407015
Entity TypeOrganization
Primary Taxonomy2080P0006X
Legal Business NameEASTERSEALS NORTHEAST CENTRAL FLORIDA, INC.
Location Address1219 DUNN AVEDaytona Beach, FL 32114-2405
Mailing Address1219 Dunn AveDaytona Beach, FL 32114-2405 · (386) 944-7805
Phone(386) 944-7805
Organization SubpartNo
Authorized OfficialMichele WallensAccounting Manager · (386) 255-4568
Enumeration DateJune 24, 2022
NPPES CertifiedJune 24, 2022
✔ NPI 1699407015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Developmental - Behavioral PediatricsAllopathic & Osteopathic Physicians
Taxonomy Code2080P0006X
Definition
A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.
1219 DUNN AVE, Daytona Beach, FL 32114
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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, Inc.'s NPI number?

The NPI number for Easterseals Northeast Central Florida, Inc. is 1699407015. It was assigned to this organization in the NPPES registry on June 24, 2022.

Where is Easterseals Northeast Central Florida, Inc. located?

Easterseals Northeast Central Florida, Inc. is located at 1219 Dunn Ave, Daytona Beach, FL 32114. The listed phone number is (386) 944-7805.

What is Easterseals Northeast Central Florida, Inc.'s specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Developmental - Behavioral Pediatrics, with taxonomy code 2080P0006X.

When was this NPI record last updated?

The NPPES record for Easterseals Northeast Central Florida, Inc. was last updated on June 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.