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NPI Code Detail

MEDICARE: SKYLAR PARKER CPC

MEDICARE: SKYLAR PARKER CPC
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
1101YM0800XMental Health CounselorCI5128NV
2106S00000XBehavior TechnicianRBT-21-170135NV
3101YP2500XProfessional CounselorCP5851NV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1588333264
Entity Type Code : Individual
Provider Name (Legal Business Name) : SKYLAR PARKER CPC
Provider Business Mailing Address
First Line : 4221 MCLEOD DR
Second Line :
City : LAS VEGAS
State : NV
Zip : 89121-5215
Country : US
Telephone Number : 480-818-8717
Fax Number :
Provider Business Practice Location Address
First Line : 4221 MCLEOD DR
Second Line :
City : LAS VEGAS
State : NV
Zip : 89121-5215
Country : US
Telephone Number : 70-247-4645
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/07/2021
Last Update Date : 01/13/2025

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Directions to “ SKYLAR PARKER CPC” Practice Location

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