Provider Demographics
NPI:1902787625
Name:SKILLS FOR LIFE BEHAVIORAL SERVICES, LLC
Entity type:Organization
Organization Name:SKILLS FOR LIFE BEHAVIORAL SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:
Authorized Official - Last Name:PARKER
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA-D
Authorized Official - Phone:317-975-0266
Mailing Address - Street 1:4 ROLLING SPRINGS CT
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46033-4451
Mailing Address - Country:US
Mailing Address - Phone:317-975-0266
Mailing Address - Fax:
Practice Address - Street 1:405 INDUSTRIAL DR
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032-4205
Practice Address - Country:US
Practice Address - Phone:317-975-0266
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-09
Last Update Date:2025-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty