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Organization
SKYLIT CLINICAL BEHAVIOR AGENCY, INC.
Active
Organization
SKYLIT CLINICAL BEHAVIOR AGENCY, INC.
Active
Other names
Skylit CBA, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD BURNS (CO-OWNER/EXECUTIVE COORDINATOR)
(626) 993-6760
Entity
Organization
Contact information
Practice address
155 N LAKE AVE, 8TH FLOOR, PASADENA, CA 91101-1849
(626) 993-6760
Mailing address
155 N LAKE AVE, 8TH FLOOR, PASADENA, CA 91101-1849
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
CTC - 150041015
CA
251S00000X
Community/Behavioral Health Agency
Primary
CTC - 150041015
CA
252Y00000X
Early Intervention Provider Agency
CTC - 150041015
CA
253Z00000X
In Home Supportive Care Agency
CTC - 150041015
CA
Other
Enumeration date
07/14/2015
Last updated
07/14/2015
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