MEDICARE: SKYLAR LOWERY

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	BACB1481995	FL

General Provider Information

NPI Number	:	1518820299
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SKYLAR LOWERY

Provider Business Mailing Address
First Line	:	953 FLOWER ST NW
Second Line	:
City	:	PALM BAY
State	:	FL
Zip	:	32907-7744
Country	:	US
Telephone Number	:	321-507-0526
Fax Number	:

Provider Business Practice Location Address
First Line	:	1320 CULVER DR NE STE 3
Second Line	:
City	:	PALM BAY
State	:	FL
Zip	:	32907-1104
Country	:	US
Telephone Number	:	321-914-4055
Fax Number	:

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

Provider Enumeration Date	:	12/08/2025
Last Update Date	:	12/08/2025

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Directions to “ SKYLAR LOWERY ” Practice Location

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