Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KATHLEEN FULKS
Active Sole ProprietorKATHLEEN FULKS is a Early Intervention Provider Agency healthcare provider located in DAYTONA BEACH, Florida. NPI 1952089187 is currently active in the NPPES registry. Verify at CMS.
Early Intervention Provider Agency · DAYTONA BEACH, FL
Registration Details
- NPI Number
- 1952089187
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 7, 2023 (3.104576078278 yrs)
- Last Updated
- Sep 19, 2025
- Licenses
-
S17831 (FL)RBT-23-28263 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
210 S BEACH ST STE 200DAYTONA BEACH, FL, 321144433Browse FL providers · Browse ZIP 32114
- Phone
- 3868986040
- Fax
- 3862562320
- Primary Specialty
-
Early Intervention Provider Agency
252Y00000X
- Additional Specialty
- Swallowing Disorders Speech-Language Pathologist
- Additional Specialty
- Behavior Technician
Other Early Intervention Provider Agency Providers in DAYTONA BEACH, FL
| Name | Credential | NPI |
|---|---|---|
| MICHELLE MARIE HUDIMAC | M.ED. | 1790189264 |
| BARBARA FULLER | — | 1760835706 |
| BRIAN MOORE | — | 1891212130 |
| MS. ROBIN WARRINGTON | — | 1013664713 |
| BRITTANY SIMONE JENKINS | — | 1366272239 |
| HADASSAH ROSE SHORES | — | 1780552083 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.