Provider Demographics
NPI:1386204642
Name:NORTH CENTRAL EARLY STEPS
Entity Type:Organization
Organization Name:NORTH CENTRAL EARLY STEPS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ITDS
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:GALLET DE ST AURIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-309-6490
Mailing Address - Street 1:PO BOX 100296
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32610-0296
Mailing Address - Country:US
Mailing Address - Phone:352-681-2812
Mailing Address - Fax:
Practice Address - Street 1:1329 SW 16TH ST RM 4160
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32608-1128
Practice Address - Country:US
Practice Address - Phone:352-273-8555
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-19
Last Update Date:2019-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental TherapistGroup - Multi-Specialty