Individual provider · Type 1 NPI

Jaclyn Zink-Pituskin

Developmental Therapist · Daytona Beach, FL

NPI number 1104620616 Active

Practice location

210 S Beach St Ste 200
Daytona Beach, FL 32114-4433

Fax (386) 256-2320

Specialties and licenses

Taxonomy	Code	License
Early Intervention Provider Agency	252Y00000X	None listed
Developmental Therapist Primary	222Q00000X	None listed

Developmental Therapist: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Deve…

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About NPI 1104620616

Jaclyn Zink-Pituskin's National Provider Identifier is 1104620616, issued on Apr 3, 2025. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Daytona Beach, FL. The record was last updated on May 1, 2025.