Healthcare Provider Details

I. General information

NPI: 1366241572
Provider Name (Legal Business Name): TEACH SKILLS & EMPOWER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/10/2025
Last Update Date: 03/10/2025
Certification Date: 03/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1680 SW BAYSHORE BLVD STE 100
PORT ST LUCIE FL
34984-3518
US

IV. Provider business mailing address

1680 SW BAYSHORE BLVD STE 100
PORT ST LUCIE FL
34984-3518
US

V. Phone/Fax

Practice location:
  • Phone: 561-562-2100
  • Fax:
Mailing address:
  • Phone: 561-562-2100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: MRS. ESTONIE DANTES-NORCILUS
Title or Position: MANAGER
Credential: M. ED., BCBA
Phone: 561-562-2100