Provider Demographics
NPI:1053179036
Name:SKILLS BEHAVIORS SERVICES CORP
Entity type:Organization
Organization Name:SKILLS BEHAVIORS SERVICES CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GEISA
Authorized Official - Middle Name:
Authorized Official - Last Name:TRESGALLOS
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:786-337-5833
Mailing Address - Street 1:18242 SW 149TH CT
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33187-6289
Mailing Address - Country:US
Mailing Address - Phone:786-337-5833
Mailing Address - Fax:
Practice Address - Street 1:8785 SW 165TH AVE STE 200-2004
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33193-5826
Practice Address - Country:US
Practice Address - Phone:786-337-5833
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-13
Last Update Date:2024-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty