KATHLEEN FULKS

DAYTONA BEACH, FL
NPI1952089187
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy252Y00000X Early Intervention Provider Agency
Additional Taxonomies2355S0801X Specialist/Technologist, Speech-Language Assistant
(Licence: FL  S17831)
106S00000X Behavior Technician
(Licence: FL  RBT-23-28263)
Enumeration Date2023-07-07
Last Update Date2025-09-19
Business Address
KATHLEEN FULKS
210 S BEACH ST STE 200
DAYTONA BEACH, FL 32114-4433
Phone number: 386-898-6040
Mailing Address
KATHLEEN FULKS
210 S BEACH ST STE 200
DAYTONA BEACH, FL 32114-4433
Phone number: