Provider Demographics
NPI:1821703265
Name:COOK, SKYLAR (BS)
Entity type:Individual
Prefix:
First Name:SKYLAR
Middle Name:
Last Name:COOK
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 70541
Mailing Address - Street 2:
Mailing Address - City:FAIRBANKS
Mailing Address - State:AK
Mailing Address - Zip Code:99707-0541
Mailing Address - Country:US
Mailing Address - Phone:907-651-6552
Mailing Address - Fax:
Practice Address - Street 1:800 CUSHMAN ST
Practice Address - Street 2:
Practice Address - City:FAIRBANKS
Practice Address - State:AK
Practice Address - Zip Code:99701-4615
Practice Address - Country:US
Practice Address - Phone:907-651-6552
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-19
Last Update Date:2025-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician