MEDICARE: SKYE THOMAS

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
1	106S00000X	Behavior Technician	BACB950061	CO

General Provider Information

NPI Number	:	1356020366
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SKYE THOMAS

Provider Business Mailing Address
First Line	:	PO BOX 62186
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80962-2186
Country	:	US
Telephone Number	:	719-344-8756
Fax Number	:	719-465-2744

Provider Business Practice Location Address
First Line	:	1935 DOMINION WAY STE 104
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80918-1464
Country	:	US
Telephone Number	:	719-344-8576
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/17/2023
Last Update Date	:	02/13/2026

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Directions to “ SKYE THOMAS ” Practice Location

Language	Start Address	Practice Location

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