Provider Demographics
NPI:1154101970
Name:SKILLS BEHAVIORAL AND TESTING CENTER
Entity type:Organization
Organization Name:SKILLS BEHAVIORAL AND TESTING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:VANNESS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:719-661-9628
Mailing Address - Street 1:1575 GARDEN OF THE GODS RD STE 250
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80907-3546
Mailing Address - Country:US
Mailing Address - Phone:719-651-5102
Mailing Address - Fax:
Practice Address - Street 1:1575 GARDEN OF THE GODS RD STE 250
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80907-3546
Practice Address - Country:US
Practice Address - Phone:719-651-5102
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-29
Last Update Date:2023-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities