BARBARA FULLER (NPI# 1760835706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760835706 |
| Entity Type | Individual |
| Full Name | BARBARA FULLER |
| Practice Address |
125 Cheshire Rd Daytona Beach FL 32118 |
| Mailing Address |
125 Cheshire Rd Daytona Beach FL 32118-5403 |
| Practice Telephone | 3868715498 |
| Mailing Telephone | 3868715498 |
| Enumeration Date | 2016-07-14 |
| Last Update Date | 2019-11-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 252Y00000X | Early Intervention Provider Agency | Agencies | ||
| N | 106S00000X | Behavior Technician | RBT-18-6930 | OH | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 125 Cheshire Rd, Daytona Beach, FL 32118 | 3868715498 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396962320 | Barbara Jeanne Fuller | Contractor | 458 Forward Pass Rd Sw, Pataskala, OH 43062-7429 | 2007-04-19 |
| 1326016874 | Barbara Jeanne Fuller | Physician Assistant | 1000 Health Cntr Dr, Kyle Health Center, Kyle, SD 57752 | 2006-03-10 |
| 1861467896 | Barbara B Fuller | Social Worker | 800 N Ferncreek Ave, Suite 2, Orlando, FL 32803-4127 | 2006-02-22 |
| 1427553494 | Barbara Fuller | Technician | 3101 W Charleston Blvd, Las Vegas, NV 89102-1931 | 2018-03-29 |
| 1790091346 | Barbara Jo Fuller | Counselor | 1350 N Orange Ave, Suite 223, Winter Park, FL 32789-4945 | 2010-08-20 |
| 1760712210 | Barbara Ann Fuller | Physical Therapist | 1206 E 9th St, Suite 160, Lockport, IL 60441-2404 | 2010-01-06 |
| 1972545804 | Barbara L Fuller | Internal Medicine | 1600 S Lake Park Ave, Suite1101, Hobart, IN 46342-6641 | 2006-06-12 |
| 1154398725 | Barbara B Fuller | Physical Therapist | 4930 Mcleod Rd Ne, Albuquerque, NM 87109 | 2006-03-02 |
| Street Address |
125 CHESHIRE RD |
| City | DAYTONA BEACH |
| State | FL |
| Zip Code | 32118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407476633 | Adel Demetrious | Dentist | 2727 North Atlantic, Ave, Suite 121, Dayton Beach, FL 32118 | 2020-04-17 |
| 1518433804 | Tara James | Nurse Practitioner | 224 Seabreeze Blvd, Daytona Beach, FL 32118 | 2018-10-15 |
| 1821486457 | Emily Catherine Lounsbury | Nurse Practitioner | 3512 South Atlantic Avenue, Daytona Beach Shores, FL 32118 | 2015-01-06 |
| 1215334370 | Shores Medical Center | Nurse Practitioner | 3512 S Atlantic Blvd, Daytona Beach Shores, FL 32118 | 2014-12-04 |
| 1619305075 | Kimberly Barr Beck-frate | Counselor | 444 Seabreeze Blvd., Integrative Crisis Management, Suite 725, Daytona Beach, FL 32118 | 2013-10-23 |
| 1104190792 | Demetrius Marketing LLC | Dentist | 2570 South Atlantic Ave., Marina Dental Center, Daytona Beach Shores, FL 32118 | 2012-02-29 |
| 1255603189 | A1a Medical | General Practice | 1401 North Atlantic Avenue, Daytona Beach, FL 32118 | 2012-02-08 |
| 1184755654 | David Gaughan | Physical Medicine & Rehabilitation | 3512 S Atlantic Av., Daytona Beach Shores, FL 32118 | 2007-03-08 |
| 1952497612 | Ability Health Services, Inc | Durable Medical Equipment & Medical Supplies | 614 N. Penisula Dr, Daytona Beach, FL 32118 | 2006-10-04 |
| 1972510493 | Johnny R. Bernard Jr. | Radiology | 211 E International Speedway Blvd Ste 108, Daytona Beach, FL 32118 | 2006-08-01 |
| Find all providers in zip 32118 | ||||
| Taxonomy Code | 252Y00000X |
| Grouping | Agencies |
| Classification | Early Intervention Provider Agency |
| Early intervention services are an effective way to address the needs of infants and toddlers who have developmental delays or disabilities. The services are made available through a federal law known as the Individuals with Disabilities Education Act (IDEA). IDEA provides states and territories with specific requirements for providing early intervention services to infants and toddlers with special needs. In turn, each state and territory develops its own policies for carrying out IDEA and its requirements. Broadly speaking, early intervention services are special services for eligible infants and toddlers and their families. These services are designed to identify and meet children’s needs in five developmental areas. These areas are: physical development, cognitive development, communication, social or emotional development, and adaptive development. |
| Notes: Source: National Dissemination Center for Children with Disabilities [7/1/2007: new] http://www.nichcy.org/pubs/parent/pa2txt.htm |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831536515 | Florida Lions Conklin Ctrs for The Blind | Early Intervention Provider Agency | 405 White St, Daytona Beach, FL 32114-2925 | 2013-06-04 |
| 1548740475 | Rachel Schatzberg | Early Intervention Provider Agency | 201 Thornberry Branch Ln, Daytona Beach, FL 32124-3652 | 2018-08-20 |
| 1164917688 | Trakenya T Killins | Early Intervention Provider Agency | 201 Thornberry Branch Ln, Daytona Beach, FL 32124-3652 | 2018-06-27 |
| 1568979235 | Star Johnson | Early Intervention Provider Agency | 201 Thornberry Branch Ln, Daytona Beach, FL 32124-3652 | 2018-01-04 |
| 1891212130 | Brian Moore | Early Intervention Provider Agency | 201 Thornberry Branch Ln, Daytona Beach, FL 32124 | 2017-08-28 |
| 1639696909 | Allie Ames | Early Intervention Provider Agency | 201 Thornberry Branch Ln, Daytona Beach, FL 32124-3652 | 2017-08-27 |
| 1790189264 | Michelle Marie Hudimac | Early Intervention Provider Agency | 201 Thornberry Branch Ln, Daytona Beach, FL 32124-3652 | 2014-10-13 |
| 1780099523 | Easterseals Northeast Central Florida, Inc. | Early Intervention Provider Agency | 1219 Dunn Ave, Daytona Beach, FL 32114 | 2014-06-30 |
| 1386784429 | The Childrens Advocacy Center of Volusia & Flagler Counties | Early Intervention Provider Agency | 1011 W International Speedway Blvd, Daytona Beach, FL 32114-3421 | 2007-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750980561 | Paola Marisela Hernandez | Early Intervention Provider Agency | 6207 River Fruit Ct, Windermere, FL 34786-7325 | 2020-10-22 |
| 1770182966 | Maitelyn Salgado Sr. | Early Intervention Provider Agency | 145 Nw Central Park Plz Ste 104, Port St Lucie, FL 34986-2482 | 2020-10-20 |
| 1861007593 | Zena Figueroa Rios | Early Intervention Provider Agency | 4240 Prima Lago Dr, Lakeland, FL 33810-3063 | 2020-09-10 |
| 1679183974 | Impact Rehab LLC | Early Intervention Provider Agency | 10104 Sandywood Dr, Sanford, FL 32771-7246 | 2020-08-03 |
| 1235752460 | Wheat L L C | Early Intervention Provider Agency | 2627 Ne 203rd St Ste 109, Miami, FL 33180-1945 | 2020-05-21 |
| 1699397570 | Baruch Shem LLC | Early Intervention Provider Agency | 27802 Sw 134th Ct, Homestead, FL 33032-8256 | 2020-05-13 |
| 1710513023 | Lacy Bussey | Early Intervention Provider Agency | 700 N Courtenay Pkwy Apt 527, Merritt Island, FL 32953-5401 | 2020-03-18 |
| 1790310605 | Courtney M Lopez | Early Intervention Provider Agency | 6719 Ne 33rd Ct, Ocala, FL 34479-1423 | 2020-03-11 |
| 1942835152 | Robin M Boshnick | Early Intervention Provider Agency | 8540 Briar Rose Pt, Boynton Beach, FL 33473-7819 | 2020-03-08 |
| 1447884663 | Emily Garratt | Early Intervention Provider Agency | 8624 Primrose Dr, Kissimmee, FL 34747-1648 | 2020-02-26 |
| Find all providers with the same taxonomy | ||||
| City | DAYTONA BEACH |
| Zip Code | 32118 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.