Provider Demographics
NPI:1689465643
Name:TOMALESKY, SKYLAR LYNN
Entity type:Individual
Prefix:
First Name:SKYLAR
Middle Name:LYNN
Last Name:TOMALESKY
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 1:7112 COUNTRY CLUB DR
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:FL
Mailing Address - Zip Code:34667-1895
Mailing Address - Country:US
Mailing Address - Phone:727-358-2814
Mailing Address - Fax:
Practice Address - Street 1:6910 TREEHAVEN DR
Practice Address - Street 2:
Practice Address - City:SPRING HILL
Practice Address - State:FL
Practice Address - Zip Code:34606-5766
Practice Address - Country:US
Practice Address - Phone:727-358-2814
Practice Address - Fax:727-358-2814
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-16
Last Update Date:2025-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician