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Organization
VITAL SKILLS CENTER LLC
Active
Organization
VITAL SKILLS CENTER LLC
Active
Parent organization
VITAL SKILLS CENTER LLC
Other names
Ann Marie Wanliss
Organization subpart
Yes
Provider details
NPI number
Legal business name
VITAL SKILLS CENTER LLC
Authorized official
ANN MARIE WANLISS MS, ITDS, BCBA (DIRECTOR)
(954) 652-8613
Entity
Organization
Contact information
Practice address
4117 N PINE ISLAND RD, SUNRISE, FL 33351-6005
(954) 652-8613
Mailing address
9376 NW 54TH ST, SUNRISE, FL 33351-7788
(954) 652-8613
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
03/20/2019
Last updated
02/10/2023
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