George, Skylar

George, Skylar is an sole proprietor health care provider with primary practice located at 21620 Sw 112Th Ave , Goulds FL 33170-3028. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. George, Skylar can be contacted via phone (305) 510-3946.

Contact Information

Primary practice address
21620 Sw 112Th Ave Goulds FL 33170-3028
Phone: (305) 510-3946
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1699216283
LBN Legal business name George, Skylar
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 15th, 2017
Last updated Mar 15th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699216283 NPPES
Florida MEDICAID 018281500

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