Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jaclyn Zink-Pituskin

Individual provider Early Intervention Provider Agency · NPI 1104620616

Jaclyn Zink-Pituskin is an Early Intervention Provider Agency in Daytona Beach, Florida. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2

Practice location Address checks out

210 S Beach St Ste 200
Daytona Beach, FL 32114-4433
Phone: (386) 898-6040
Fax: (386) 256-2320
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Developmental Therapist (primary) Taxonomy 222Q00000X
Early Intervention Provider Agency Taxonomy 252Y00000X

Record details

NPI number1104620616
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 3, 2025
Last updated in NPPESMay 1, 2025
Certification dateMay 1, 2025

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