Active NPI
Skylin Whitmer
- Behavior Analyst
- Charlotte, NC
National Provider Identifier
1629545777
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- BCBA-1-22-60398
- Practice address
- 10516 Park Rd
Charlotte, NC 28210-8405 - Phone
- (704) 325-5034
- NPI assigned
- Oct 26, 2018
- Last updated
- Jun 30, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | BCBA-1-22-60398 | NU | Primary |
Addresses
Primary practice location
10516 Park Rd
Charlotte, NC 28210-8405
Mailing address
2007 Garland Ave
Gastonia, NC 28052-5134
Phone (407) 683-2800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688083200000",
"number": "1629545777",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2007 GARLAND AVE",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280525134",
"telephone_number": "407-683-2800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10516 PARK RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282108405",
"telephone_number": "704-325-5034"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITMER",
"first_name": "SKYLIN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-26",
"last_updated": "2023-06-30",
"certification_date": "2023-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NU",
"license": "BCBA-1-22-60398",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.