Holly Skaggs
Individual provider Active NPI Behavior Technician · Leadington, MO
NPI 1639745813 · NPPES record last updated May 28, 2021
Key facts
- NPI
- 1639745813
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 514 Park St Apt 13
Leadington, MO 63601-4450 - Phone
- (573) 915-0780
- NPI assigned
- May 28, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
514 Park St Apt 13
Leadington, MO 63601-4450
Mailing address
514 Park St Apt 13
Leadington, MO 63601-4450
Phone (573) 915-0780
Other providers in Leadington, MO
- Horizon of Hope
- Melanie D Houser
- Integrity Inc.
- Integrity Inc.
- Integrity Inc.
- Supply Unlimited, Inc.
- Torey Watson
- Jessica Whitehead
- Derek B Wiles
- Evan T Williams
All providers in Leadington, MO · Behavior Technician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 28, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.