Skylar Elisabeth Theiss

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-25-455094 Issued in FL

Practice address

210 S Beach St Ste 200
Daytona Beach, FL 32114-4433

Phone

(386) 898-6040

NPI assigned

Jul 18, 2025

Last updated

Jul 21, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hope Harbor Therapies

  • Speech-Language Pathologist
  • Daytona Beach, FL
  • NPI 1649622358

  Behavior Analyst

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1752796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753056000000",
    "number": "1003708355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 S BEACH ST STE 200",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321144433",
            "telephone_number": "386-898-6040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 S BEACH ST STE 200",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321144433",
            "telephone_number": "386-898-6040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THEISS",
        "first_name": "SKYLAR",
        "middle_name": "ELISABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-18",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-25-455094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Mentor Network (Florida Mentor)
• The Place at Daytona Beach, Inc.
• The Plastic Flamingo
• The Rayne Group Inc (No Boundaries Pediatric Therapy)
• The Wallis Agency, Inc. (Onyx Home Care)
• Sarah Tatjana Thenault, PA-C
• Therapeutic Foundations
• Therapy Treehouse LLC
• Thambyratnam Thiruchelvam, M.D.
• Thomas Center for Physical Therapy

• Behavior Technician in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.