Healthcare Provider Details

I. General information

NPI: 1003747486
Provider Name (Legal Business Name): SKYLA HOPE MCCARTHY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/26/2026
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

333 TURNPIKE RD STE 101
SOUTHBOROUGH MA
01772-1755
US

IV. Provider business mailing address

5 MONROE ST
MILLIS MA
02054-1515
US

V. Phone/Fax

Practice location:
  • Phone: 508-970-6377
  • Fax:
Mailing address:
  • Phone: 774-214-6067
  • Fax: 774-214-6067

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: