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NPI Code Detail

MEDICARE: SKILLSNEST BEHAVIOR LLC

MEDICARE: SKILLSNEST BEHAVIOR 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
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1669326765
Entity Type Code : Organization
Provider Name (Legal Business Name) : SKILLSNEST BEHAVIOR LLC
Provider Business Mailing Address
First Line : 7320 E FLETCHER AVE STE 107
Second Line :
City : TAMPA
State : FL
Zip : 33637-0916
Country : US
Telephone Number : 813-618-5006
Fax Number : 813-618-5066
Provider Business Practice Location Address
First Line : 7320 E FLETCHER AVE STE 107
Second Line :
City : TAMPA
State : FL
Zip : 33637-0916
Country : US
Telephone Number : 813-618-5006
Fax Number : 813-618-5066
Authorized Official
Title or Position : MANAGING MEMBER
Name : ZULEIDY PEREZ HERNANDEZ
Credential :
Telephone Number : 813-506-2792
Provider Enumeration Date : 02/25/2026
Last Update Date : 06/02/2026

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Directions to “SKILLSNEST BEHAVIOR LLC ” Practice Location

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