Healthcare Provider Details

I. General information

NPI: 1376454603
Provider Name (Legal Business Name): SKILL KIT BEHAVIORAL SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7100 CAMINO REAL STE 302-33
BOCA RATON FL
33433-5510
US

IV. Provider business mailing address

7100 CAMINO REAL STE 302-33
BOCA RATON FL
33433-5510
US

V. Phone/Fax

Practice location:
  • Phone: 561-376-4678
  • Fax:
Mailing address:
  • Phone: 561-376-4678
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: MARITZA PEREZ TABARES
Title or Position: OWNER
Credential:
Phone: 561-376-4678