Provider Demographics
NPI:1255779856
Name:SKILLS 4 KIDS
Entity type:Organization
Organization Name:SKILLS 4 KIDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BEHAVIORAL SKILLS TRAINER/PSR
Authorized Official - Prefix:
Authorized Official - First Name:OSCAR
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-596-8262
Mailing Address - Street 1:709 REGAL ROBIN WAY
Mailing Address - Street 2:
Mailing Address - City:NORTH LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89084-1236
Mailing Address - Country:US
Mailing Address - Phone:702-596-8262
Mailing Address - Fax:
Practice Address - Street 1:709 REGAL ROBIN WAY
Practice Address - Street 2:
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89084-1236
Practice Address - Country:US
Practice Address - Phone:702-596-8262
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-05
Last Update Date:2013-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health