Healthcare Provider Details

I. General information

NPI: 1639090574
Provider Name (Legal Business Name): SKYLIER COX
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/24/2026
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 S 3RD ST
SMITHFIELD NC
27577-4575
US

IV. Provider business mailing address

215 RED COACH DR
MISHAWAKA IN
46545-8307
US

V. Phone/Fax

Practice location:
  • Phone: 574-387-4313
  • Fax: 574-204-2868
Mailing address:
  • Phone: 574-387-4313
  • Fax: 574-204-2868

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License NumberRBT-26-540228
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: