Individual
SKYLAR KISSAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA, M.ED
Contact information
Practice address
2701 PARK CENTER DR APT B712, ALEXANDRIA, VA 22302-1491
(757) 597-1600
Mailing address
27777 INKSTER RD STE 100, FARMINGTON HILLS, MI 48334-5312
(855) 772-8847
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/11/2017
Last updated
04/05/2024
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