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Individual
SKYLAR JAMES PURVIS
Active
Individual
SKYLAR JAMES PURVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RMHCI, RMFTI
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
IMH22549
FL
106S00000X
Behavior Technician
RBT-18-53308
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022030900
—
FL
01
—
IMH22549
STATE OF FLORIDA
FL
01
—
RBT-18-53308
RBT
—
Enumeration date
05/18/2018
Last updated
06/18/2024
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