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Organization
LIFE SKILLS KID THERAPY INC.
Active
Organization
LIFE SKILLS KID THERAPY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIJAY DASIKA (CEO)
(863) 360-4910
Entity
Organization
Contact information
Practice address
207 BARTOW RD, LAKELAND, FL 33801-5106
(863) 360-4910
(863) 360-0492
Mailing address
207 BARTOW RD, LAKELAND, FL 33801-5106
(863) 360-4910
(863) 360-4929
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018811100
—
FL
Enumeration date
09/22/2015
Last updated
07/15/2026
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