DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: SKYLAR ANDERSON I RBT

MEDICARE: SKYLAR ANDERSON I RBT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1053966523
Entity Type Code : Individual
Provider Name (Legal Business Name) : SKYLAR ANDERSON I RBT
Provider Business Mailing Address
First Line : 601 S LAKE DESTINY RD STE 350
Second Line :
City : MAITLAND
State : FL
Zip : 32751-7222
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 601 S LAKE DESTINY RD STE 350
Second Line :
City : MAITLAND
State : FL
Zip : 32751-7222
Country : US
Telephone Number : 407-647-6555
Fax Number : 407-647-6555
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/01/2019
Last Update Date : 08/22/2025

Similar Medicare Providers

1083546527 — DIEGO ALONSO CHAVEZ
Practice Location Address:
601 S LAKE DESTINY RD STE 350
MAITLAND, FL
32751-7222
Practice Phone: 407-647-6555
Practice Fax:
1043033798 — AISHAH FERNANDEZ
Practice Location Address:
601 S LAKE DESTINY RD STE 350
MAITLAND, FL
32751-7222
Practice Phone: 407-616-0493
Practice Fax:
1417065111 — MAXIM HEALTHCARE SERVICES, INC.
Practice Location Address:
601 S LAKE DESTINY RD STE 350
MAITLAND, FL
32751-7222
Practice Phone: 407-647-6555
Practice Fax:
1922450824 — JASMINE MAREE HESS-CORREA
Practice Location Address:
601 S LAKE DESTINY RD STE 350
MAITLAND, FL
32751-7222
Practice Phone: 407-647-6555
Practice Fax:
1013458058 — MRS. LAUREN ELIZABETH MCCASTLAIN M.S., BCBA
Practice Location Address:
601 S LAKE DESTINY RD STE 350
MAITLAND, FL
32751-7222
Practice Phone: 407-618-0493
Practice Fax:
1407340235 — TAYLOR THAMES
Practice Location Address:
601 S LAKE DESTINY RD STE 350
MAITLAND, FL
32751-7222
Practice Phone: 407-618-0493
Practice Fax: 855-864-1499

Directions to “ SKYLAR ANDERSON I RBT” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.