Provider Demographics
NPI:1366241572
Name:TEACH SKILLS & EMPOWER, LLC
Entity type:Organization
Organization Name:TEACH SKILLS & EMPOWER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ESTONIE
Authorized Official - Middle Name:
Authorized Official - Last Name:DANTES-NORCILUS
Authorized Official - Suffix:
Authorized Official - Credentials:M ED, BCBA
Authorized Official - Phone:561-562-2100
Mailing Address - Street 1:1680 SW BAYSHORE BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:PORT ST LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34984-3518
Mailing Address - Country:US
Mailing Address - Phone:561-562-2100
Mailing Address - Fax:
Practice Address - Street 1:1680 SW BAYSHORE BLVD STE 100
Practice Address - Street 2:
Practice Address - City:PORT ST LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34984-3518
Practice Address - Country:US
Practice Address - Phone:561-562-2100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-10
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty
No251B00000XAgenciesCase ManagementGroup - Single Specialty
No385H00000XRespite Care FacilityRespite Care