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Organization
BLUE SKIES BEHAVIORAL GROUP LLC
Active
Organization
BLUE SKIES BEHAVIORAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE KAHNWEILER BCBA (DIRECTOR)
(847) 977-5559
Entity
Organization
Contact information
Practice address
10 FARMERS LANE, UNIT 5, BRECKENRIDGE, CO 80424
(847) 977-5559
Mailing address
PO BOX 7694, BRECKENRIDGE, CO 80424-7694
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
08/08/2021
Last updated
01/28/2022
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