Provider Demographics
NPI:1275224081
Name:SAARI, SKYLA MARIE
Entity Type:Individual
Prefix:
First Name:SKYLA
Middle Name:MARIE
Last Name:SAARI
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 1:16941 N. EAGLE RIVER LOOP RD
Mailing Address - Street 2:
Mailing Address - City:EAGLE RIVER
Mailing Address - State:AK
Mailing Address - Zip Code:99577-5430
Mailing Address - Country:US
Mailing Address - Phone:907-726-5330
Mailing Address - Fax:907-726-5366
Practice Address - Street 1:16941 N EAGLE RIVER LOOP RD
Practice Address - Street 2:
Practice Address - City:EAGLE RIVER
Practice Address - State:AK
Practice Address - Zip Code:99577-5430
Practice Address - Country:US
Practice Address - Phone:907-726-5330
Practice Address - Fax:907-726-5366
Is Sole Proprietor?:No
Enumeration Date:2023-05-15
Last Update Date:2023-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK7672890106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician