Provider Demographics
NPI:1215553276
Name:FLORES, SKYE SHARON
Entity Type:Individual
Prefix:
First Name:SKYE
Middle Name:SHARON
Last Name:FLORES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9115 PIONEER BLVD
Mailing Address - Street 2:
Mailing Address - City:SANTA FE SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:90670-2361
Mailing Address - Country:US
Mailing Address - Phone:562-842-4537
Mailing Address - Fax:
Practice Address - Street 1:9115 PIONEER BLVD
Practice Address - Street 2:
Practice Address - City:SANTA FE SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:90670-2361
Practice Address - Country:US
Practice Address - Phone:562-842-4537
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-24
Last Update Date:2020-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst