| Life Skills Kid Therapy Inc. | |
|
1411 Sawgrass Corporate Pkwy Suite B20 Sunrise FL 33323-2888 | |
| (954) 237-1903 | |
| (888) 557-6906 |
| Full Name | Life Skills Kid Therapy Inc. |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1411 Sawgrass Corporate Pkwy, Sunrise, Florida |
| Authorized Official Name and Position | Brian Neblett (CEO) |
| Authorized Official Contact | 3059103247 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Skills Kid Therapy Inc. 1411 Sawgrass Corporate Pkwy Suite B20 Sunrise FL 33323-2888 Ph: (954) 237-1903 | Life Skills Kid Therapy Inc. 1411 Sawgrass Corporate Pkwy Suite B20 Sunrise FL 33323-2888 Ph: (954) 237-1903 |
| NPI Number | 1720457542 |
|---|---|
| Provider Enumeration Date | 09/22/2015 |
| Last Update Date | 02/01/2021 |
| Certification Date | 02/01/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720457542 | NPI | - | NPPES |
| 018811100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
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