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General NPI Number Information
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NPI Number | 1669326765
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Entity Type | Organization
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Legal Business Name | SKILLSNEST BEHAVIOR LLC
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Dates
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Enumeration Date | 02/25/2026
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Last Update Date | 02/25/2026
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Provider Practice Location Address
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Address Line | 2121 W POWHATAN AVE
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City | TAMPA
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State | FL
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Zip | 33603-1042
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Country | US
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Telephone | 813-506-2792
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Fax |
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Provider Business Mailing Address
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Address Line | 5450 FULMAR DR
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City | TAMPA
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State | FL
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Zip | 33625-1949
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Country | US
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Telephone | 813-506-2792
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | ZULEIDY PEREZ HERNANDEZ
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Credential |
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Telephone | 813-506-2792
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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