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Individual

SKYLAR WHITAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
6004 WALDEN DR, KNOXVILLE, TN 37919-6337
(865) 766-5775
Mailing address
5554 RESEDA BLVD STE 203, TARZANA, CA 91356-6212

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
12/18/2023
Last updated
12/18/2023
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