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Organization
SKYROCKET BEHAVIORAL SERVICES,LLC
Active
Organization
SKYROCKET BEHAVIORAL SERVICES,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FABIANA GOMEZ (OWNER)
(561) 475-6308
Entity
Organization
Contact information
Practice address
7376 LAKE WORTH RD, LAKE WORTH, FL 33467-2529
(561) 788-4086
Mailing address
7376 LAKE WORTH RD, LAKE WORTH, FL 33467-2529
(561) 788-4086
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/24/2021
Last updated
10/18/2024
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