| Life Skills Academy | |
|
4302 Gulfwinds Dr Lutz FL 33558-2744 | |
| (954) 638-3770 | |
| Not Available |
| Full Name | Life Skills Academy |
|---|---|
| Speciality | Behavior Analyst |
| Location | 4302 Gulfwinds Dr, Lutz, Florida |
| Authorized Official Name and Position | Yadira Suarez-pita (OWNER) |
| Authorized Official Contact | 9546383770 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Skills Academy 4302 Gulfwinds Dr Lutz FL 33558-2744 Ph: (954) 638-3770 | Life Skills Academy 4302 Gulfwinds Dr Lutz FL 33558-2744 Ph: (954) 638-3770 |
| NPI Number | 1073193991 |
|---|---|
| Provider Enumeration Date | 04/13/2021 |
| Last Update Date | 03/30/2023 |
| Certification Date | 03/30/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073193991 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
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