Life Skills Kid Therapy Inc.

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

LIFE SKILLS KID THERAPY INC.

Practice address

207 Bartow Rd
Lakeland, FL 33801-5106

Phone

(863) 360-4910

Fax

(863) 360-0492

NPI assigned

Sep 22, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Vijay Dasika

Title

Ceo

Phone

(863) 360-4910

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1442880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784073600000",
    "number": "1720457542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 BARTOW RD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338015106",
            "telephone_number": "863-360-4910",
            "fax_number": "863-360-4929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 BARTOW RD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338015106",
            "telephone_number": "863-360-4910",
            "fax_number": "863-360-0492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE SKILLS KID THERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-22",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A",
        "authorized_official_last_name": "DASIKA",
        "authorized_official_first_name": "VIJAY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "863-360-4910"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018811100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.