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General NPI Number Information
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NPI Number | 1902787625
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Entity Type | Organization
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Legal Business Name | SKILLS FOR LIFE BEHAVIORAL SERVICES, LLC
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Dates
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Enumeration Date | 09/09/2025
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Last Update Date | 09/09/2025
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Provider Practice Location Address
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Address Line | 405 INDUSTRIAL DR
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City | CARMEL
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State | IN
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Zip | 46032-4205
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Country | US
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Telephone | 317-975-0266
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Fax |
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Provider Business Mailing Address
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Address Line | 4 ROLLING SPRINGS CT
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City | CARMEL
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State | IN
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Zip | 46033-4451
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Country | US
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Telephone | 317-975-0266
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Fax |
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | DR. EDWARD PARKER
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Credential | BCBA-D
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Telephone | 317-975-0266
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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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