Organization
BLUE SKY COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERNESTO PERDOMO CARMONA BCBA (MANAGER)
(772) 801-5192
Entity
Organization
Contact information
Practice address
1801 S 23RD ST STE 4, FORT PIERCE, FL 34950-4830
(772) 801-5192
Mailing address
1801 S 23RD ST STE 4, FORT PIERCE, FL 34950-4830
(772) 801-5192
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116364100
—
FL
Enumeration date
09/02/2022
Last updated
01/14/2025
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