Provider Demographics
NPI:1205448966
Name:CORE BEHAVIOR SKILLS LLC
Entity type:Organization
Organization Name:CORE BEHAVIOR SKILLS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:ENRIQUE
Authorized Official - Last Name:SILVESTRE
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:786-316-5692
Mailing Address - Street 1:8635 W HILLSBOROUGH AVE # 315
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33615-3810
Mailing Address - Country:US
Mailing Address - Phone:786-353-7149
Mailing Address - Fax:
Practice Address - Street 1:5445 GINGER COVE DR APT E
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33634-7435
Practice Address - Country:US
Practice Address - Phone:786-353-7149
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-23
Last Update Date:2023-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty
No106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior AnalystGroup - Single Specialty
No106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Single Specialty