Skylar Blake Radford, M.ED., BCBA, LBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

BA61115658 Issued in WA

Practice address

7719 Perregrine PL
Arlington, WA 98223-5955

Phone

(425) 977-5098

NPI assigned

Dec 9, 2020

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

Other identifiers 1

Other names 1

• Skylar Blake Epling Other name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

Practice roles

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

• Blue Sky Behavioral Care LLC

  • Behavior Analyst
  • Arlington, WA
  • NPI 1649978297
  NPD Authorized official
• Wickler Behavioral Consulting Corp.

  • Behavior Analyst
  • Bothell, WA
  • NPI 1164961025
  NPD (past)

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

{
    "created_epoch": "1607472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670889600000",
    "number": "1336745793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7719 PERREGRINE PL",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982235955",
            "telephone_number": "425-977-5098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7719 PERREGRINE PL",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982235955",
            "telephone_number": "425-977-5098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADFORD",
        "first_name": "SKYLAR",
        "middle_name": "BLAKE",
        "credential": "M.ED., BCBA, LBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-09",
        "last_updated": "2022-12-13",
        "certification_date": "2022-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "WA",
            "license": "BA61115658",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREMERA AND REGENCE",
            "identifier": "82-4372340",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://app.behaviorsoft.com/users/sign_in",
            "affiliation": "N",
            "endpointDescription": "Data Portal",
            "address_1": "7719 Perregrine Pl",
            "city": "Arlington",
            "state": "WA",
            "country_code": "US",
            "postal_code": "982235955",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SKYLAR",
            "last_name": "EPLING",
            "middle_name": "BLAKE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Puget Sound Kidney Centers
• Alicia Pullen, STUDENT/INTERN
• Nicole Madison Pulse
• Sonia Questad, LMP
• Amber M Radford-Schwab, COTA
• Zandra J. Raef, ATC
• Christina Raghubeer
• Ellie Rahmani, DDS
• Navraj Rai, D.O.
• Artika Ram

• Behavior Analyst in Arlington, WA
• Providers in Arlington, WA by specialty
• Behavior Analyst in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2022; 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.