Provider Demographics
NPI:1821883240
Name:SKINNER, MYA ISABELLA (RBT)
Entity type:Individual
Prefix:
First Name:MYA
Middle Name:ISABELLA
Last Name:SKINNER
Suffix:
Gender:
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 MEDICAL CENTER DR STE 100
Mailing Address - Street 2:
Mailing Address - City:GADSDEN
Mailing Address - State:AL
Mailing Address - Zip Code:35903-1139
Mailing Address - Country:US
Mailing Address - Phone:205-201-1885
Mailing Address - Fax:
Practice Address - Street 1:300 MEDICAL CENTER DR STE 100
Practice Address - Street 2:
Practice Address - City:GADSDEN
Practice Address - State:AL
Practice Address - Zip Code:35903-1139
Practice Address - Country:US
Practice Address - Phone:205-201-1885
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-14
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALRBT-25-419997103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst