Blue Sky Counseling, LLC
Behavior Analyst in Fort Pierce, FL. Organization (NPI-2).
NPI number1609596162
StatusActive
Last updated in NPPESJan 14, 2025
Details
- NPI
- 1609596162
- Entity type
- Organization (NPI-2)
- Legal business name
- Blue Sky Counseling, LLC
- Organization subpart
- No
- Enumeration date
- Sep 2, 2022
- Certification date
- Jan 14, 2025
- Last updated
- Jan 14, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | – | – | Yes |
Practice location
1801 S 23rd St Ste 4Fort Pierce, FL 34950-4830
Phone 772-801-5192
Mailing address
1801 S 23rd St Ste 4Fort Pierce, FL 34950-4830
Phone 772-801-5192
Authorized official
Ernesto Perdomo Carmona
Manager
7728015192
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