Tyler Beal
Individual provider Active NPI Behavior Analyst · Clemmons, NC
NPI 1124694583 · NPPES record last updated Mar 10, 2026
Key facts
- NPI
- 1124694583
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 1-22-60550 (NC)
- Practice address
- 2585 Old Glory Rd Unit 109
Clemmons, NC 27012-9276 - Phone
- (336) 568-8386
- NPI assigned
- May 27, 2021
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-19-82086 | NC | MD | Behavioral Analyst |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | RBT-19-82086 | NC | |
| Behavior Analyst | 103K00000X | 1-22-60550 | NC | Yes |
Addresses
Primary practice location
2585 Old Glory Rd Unit 109
Clemmons, NC 27012-9276
Mailing address
350 Fairway Dr Ste 101
Deerfield Beach, FL 33441-1834
Phone (910) 374-5991
Other providers in Clemmons, NC
- Jason Wyatt Barker
- Michelle Marie Barrett
- Richard Bartholomew
- Sierra Basara
- Ashlyn Tilley Baughn
- Amanda Nicole Benton
- Jeffrey Berish
- Besure LLC
- Melanie N Bhambri
- Amy E Bizjak
All providers in Clemmons, NC · Behavior Analyst in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 10, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.