Healthcare Provider Details
I. General information
NPI: 1073487898
Provider Name (Legal Business Name): SKYLAR S HUFF
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 10/03/2025
Last Update Date: 11/10/2025
Certification Date: 11/10/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
10 6TH AVE W
HUNTINGTON WV
25701-0028
US
IV. Provider business mailing address
10 6TH AVE W
HUNTINGTON WV
25701-0028
US
V. Phone/Fax
- Phone: 304-525-8014
- Fax:
- Phone: 304-525-8014
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 106S00000X |
| Taxonomy | Behavior Technician |
| License Number | RBT-25-488418 |
| License Number State | WV |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: