MEDICARE: SKYLAR ALENE FLEAK

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	RBT-21-159436	OH

General Provider Information

NPI Number	:	1376109652
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SKYLAR ALENE FLEAK

Provider Business Mailing Address
First Line	:	5535 CURRITUCK DR STE 220
Second Line	:
City	:	WILMINGTON
State	:	NC
Zip	:	28403-1155
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5535 CURRITUCK DR STE 220
Second Line	:
City	:	WILMINGTON
State	:	NC
Zip	:	28403-1155
Country	:	US
Telephone Number	:	910-251-8990
Fax Number	:

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

Provider Enumeration Date	:	05/13/2019
Last Update Date	:	08/15/2025

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Directions to “ SKYLAR ALENE FLEAK ” Practice Location

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