Healthcare Provider Details

I. General information

NPI: 1265356265
Provider Name (Legal Business Name): SKYLER STUMBAUGH RBT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1434 W CHICAGO BLVD
TECUMSEH MI
49286-8727
US

IV. Provider business mailing address

9800 TECUMSEH CLINTON HWY APT 4
TECUMSEH MI
49286-8649
US

V. Phone/Fax

Practice location:
  • Phone: 517-507-5555
  • Fax:
Mailing address:
  • Phone: 614-967-0305
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: