Provider Demographics
NPI:1477196731
Name:FRIAS, SKYLER HOPE
Entity Type:Individual
Prefix:
First Name:SKYLER
Middle Name:HOPE
Last Name:FRIAS
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 1:21 EQUESTRIAN DR
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:VA
Mailing Address - Zip Code:22556-3441
Mailing Address - Country:US
Mailing Address - Phone:540-424-4513
Mailing Address - Fax:
Practice Address - Street 1:21 EQUESTRIAN DR
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:VA
Practice Address - Zip Code:22556-3441
Practice Address - Country:US
Practice Address - Phone:540-424-4513
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-18
Last Update Date:2019-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician