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Individual

SKYLAR PARKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPC

Contact information

Practice address
4221 MCLEOD DR, LAS VEGAS, NV 89121-5215
(070) 247-4645
Mailing address
4221 MCLEOD DR, LAS VEGAS, NV 89121-5215
(480) 818-8717

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
CI5128
NV
101YP2500X
Professional Counselor
Primary
CP5851
NV
106S00000X
Behavior Technician
RBT-21-170135
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1750754107
NV
Enumeration date
09/07/2021
Last updated
01/13/2025
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