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NPI Code Detail

MEDICARE: SKYY DOS-REIS

MEDICARE:   SKYY  DOS-REIS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician
2171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1548137425
Entity Type Code : Individual
Provider Name (Legal Business Name) : SKYY DOS-REIS
Provider Business Mailing Address
First Line : 5714 LINWOOD AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44103-3008
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1545 MARSETTA DR
Second Line :
City : BEAVERCREEK
State : OH
Zip : 45432-2732
Country : US
Telephone Number : 937-373-4237
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/23/2025
Last Update Date : 04/07/2026

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Directions to “ SKYY DOS-REIS ” Practice Location

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