Healthcare Provider Details

I. General information

NPI: 1396540092
Provider Name (Legal Business Name): MICALYN SKOIEN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/17/2025
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2175 N ALMA SCHOOL RD STE 106
CHANDLER AZ
85224-2878
US

IV. Provider business mailing address

10100 W SPUR DR
PEORIA AZ
85383-5399
US

V. Phone/Fax

Practice location:
  • Phone: 877-222-0339
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: