NPIMap

Organization Active NPI

Vital Skills Center LLC

  • Behavior Analyst
  • Sunrise, FL
National Provider Identifier
1912467788
Registry record updated Feb 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
VITAL SKILLS CENTER LLC
Practice address
4117 N Pine Island Rd
Sunrise, FL 33351-6005
Phone
(954) 652-8613
NPI assigned
Mar 20, 2019
Organization subpart
Yes
Parent organization
VITAL SKILLS CENTER LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 10, 2023

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

Authorized official

Name
Ann Marie Wanliss, MS, ITDS, BCBANPI 1023339074
Title
Director
Phone
(954) 652-8613

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103K00000X Primary
Early Intervention Provider Agency 252Y00000X

Addresses

Primary practice location

4117 N Pine Island Rd
Sunrise, FL 33351-6005

Mailing address

9376 NW 54TH St
Sunrise, FL 33351-7788
Phone (954) 652-8613

Other practice location 1

9376 NW 54th St
Sunrise, FL 33351-7788
Phone (954) 652-8613

Other names 1

  • Ann Marie Wanliss Former legal business name

National Provider Directory

National Provider Directory
Part of
Vital Skills Center LLC

Locations

4117 N Pine Island Rd
Sunrise, FL 33351
Phone (954) 605-0378

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1553040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675987200000",
    "number": "1912467788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9376 NW 54TH ST",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333517788",
            "telephone_number": "954-652-8613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4117 N PINE ISLAND RD",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333516005",
            "telephone_number": "954-652-8613"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9376 NW 54th St",
            "address_purpose": "LOCATION",
            "city": "Sunrise",
            "state": "FL",
            "postal_code": "333517788",
            "country_code": "US",
            "telephone_number": "954-652-8613",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VITAL SKILLS CENTER LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VITAL SKILLS CENTER LLC",
        "enumeration_date": "2019-03-20",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-10",
        "status": "A",
        "authorized_official_last_name": "WANLISS",
        "authorized_official_first_name": "ANN MARIE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "954-652-8613",
        "authorized_official_credential": "MS, ITDS, BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ann Marie Wanliss",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Sunrise, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2023; 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.