MEDICARE: SKINNER BEHAVIORAL THERAPY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1760344352
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SKINNER BEHAVIORAL THERAPY LLC

Provider Business Mailing Address
First Line	:	1301 W 68TH ST STE F
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33014-4581
Country	:	US
Telephone Number	:	786-308-6978
Fax Number	:

Provider Business Practice Location Address
First Line	:	1301 W 68TH ST STE F
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33014-4581
Country	:	US
Telephone Number	:	786-308-6978
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JULIO A VILLEGAS
Credential	:	SLP
Telephone Number	:	786-308-6978

Provider Enumeration Date	:	12/02/2025
Last Update Date	:	12/02/2025

Similar Medicare Providers

1083149694 — MARIO VERGEL
Practice Location Address:

9147 NW 112TH TER
HIALEAH, FL
33018-4581

Practice Phone: 786-223-0165
Practice Fax:

1144184854 — YASSER OLAZABAL CASTRO
Practice Location Address:

6861 W 4TH AVE APT 17
HIALEAH, FL
33014-5358

Practice Phone: 786-826-8700
Practice Fax:

1366307712 — MARIANGEL FUGUET RIVERO
Practice Location Address:

7200 W 4TH AVE APT 315
HIALEAH, FL
33014-5285

Practice Phone: 305-724-3597
Practice Fax:

1205799152 — ELOY CASTILLO DIAZ
Practice Location Address:

7222 W 4TH AVE APT 303
HIALEAH, FL
33014-5194

Practice Phone: 786-720-3256
Practice Fax:

1700647427 — NELISLEIDYS RUIZ GARCIA
Practice Location Address:

7222 W 4TH AVE APT 303
HIALEAH, FL
33014-5194

Practice Phone: 786-255-4516
Practice Fax:

1639547201 — KERI M POMELLA, OD PA
Practice Location Address:

1550 W 84TH ST
HIALEAH, FL
33014-3377

Practice Phone: 786-558-9043
Practice Fax: 786-762-2926

Directions to “SKINNER BEHAVIORAL THERAPY LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.