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1114882081 NPI number — SKYLAR DAYNE THOMASSIE

NPI Number: 1114882081
Health Care Provider/Practitioner: SKYLAR DAYNE THOMASSIE

Information about “1114882081” NPI (SKYLAR DAYNE THOMASSIE) exists in 1114882081 in HTML format HTML  |  1114882081 in plain Text format TXT  |  1114882081 in PDF (Portable Document Format) PDF  |  1114882081 in an XML format XML  formats.

NPI Number : 1114882081 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1114882081",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "THOMASSIE",
    "FirstName": "SKYLAR",
    "MiddleName": "DAYNE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "RABENHORST",
    "OtherFirstName": "SKYLAR",
    "OtherMiddleName": "DAYNE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "2220 H G MOSLEY PKWY",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LONGVIEW",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "75604-3663",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "903-353-9247",
    "MailingAddressFaxNumber": "317-334-7336",
    "FirstLinePracticeLocationAddress": "2220 H G MOSLEY PKWY",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LONGVIEW",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "75604-3663",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "903-353-9247",
    "PracticeLocationAddressFaxNumber": "317-334-7336",
    "EnumerationDate": "12/22/2025",
    "LastUpdateDate": "12/22/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "106S00000X",
        "TaxonomyName": "Behavior Technician",
        "LicenseNumber": "RBT-24-332707",
        "LicenseNumberStateCode": "TX",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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