Kathleen Fulks
Kathleen Fulks is an Early Intervention Provider Agency in Daytona Beach, Florida. Practices as a sole proprietor. Licensed in Florida.
- Licensed in
- FL
- In the registry since
- 2023
- Specialties on file
- 3
Practice location Address checks out
210 S Beach St Ste 200Daytona Beach, FL 32114-4433
Phone: (386) 898-6040
Fax: (386) 256-2320
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Specialties & licences
| Early Intervention Provider Agency (primary) | Taxonomy 252Y00000X (FL) |
|---|---|
| Speech-Language Assistant | Taxonomy 2355S0801X · Licence S17831 (FL) |
| Behavior Technician | Taxonomy 106S00000X · Licence RBT-23-28263 (FL) |
Record details
| NPI number | 1952089187 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | July 7, 2023 |
| Last updated in NPPES | September 19, 2025 |
| Certification date | September 19, 2025 |
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Brittany Simone Jenkins
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Hadassah Rose Shores
210 S Beach St Ste 200, Daytona Beach, FL 32114-4433 · (386) 898-6040