Organization Active NPI

Skyline Autism Services, LLC

  • Behavior Analyst
  • Marietta, GA
National Provider Identifier
1720659287
Registry record updated Jul 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
SKYLINE AUTISM SERVICES, LLC
Practice address
1818 Highland Parc PL SE
Marietta, GA 30067-2438
Phone
(404) 938-0720
NPI assigned
Jul 6, 2021
Last updated
Jul 6, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2021

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

Authorized official

Name
Shavon Haymer, RBTNPI 1639754591
Title
Owner
Phone
(404) 938-0720

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Primary
Behavior Technician 106S00000X

Addresses

Primary practice location

1818 Highland Parc PL SE
Marietta, GA 30067-2438

Mailing address

1818 Highland Parc PL SE
Marietta, GA 30067-2438

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1625529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625529600000",
    "number": "1720659287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1818 HIGHLAND PARC PL SE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300672438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 HIGHLAND PARC PL SE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300672438",
            "telephone_number": "404-938-0720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKYLINE AUTISM SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-06",
        "last_updated": "2021-07-06",
        "certification_date": "2021-07-06",
        "status": "A",
        "authorized_official_last_name": "HAYMER",
        "authorized_official_first_name": "SHAVON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-938-0720",
        "authorized_official_credential": "RBT"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2021; 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.