Individual provider Active NPI

Tyara Myers

  • Behavior Analyst
  • Charlotte, NC
National Provider Identifier
1134709124
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
4723 Issued in NC
Practice address
1520 Mockingbird LN Apt 519
Charlotte, NC 28209-6225
Phone
(717) 419-9150
NPI assigned
Apr 13, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 4723 NC Primary

Addresses

Primary practice location

1520 Mockingbird LN Apt 519
Charlotte, NC 28209-6225

Mailing address

1520 Mockingbird LN Apt 519
Charlotte, NC 28209-6225
Phone (717) 419-9150

Other practice location 1

8215 Forest Point Blvd Ste 150
Charlotte, NC 28273-0219
Phone (980) 422-5887

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1618272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1134709124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 MOCKINGBIRD LN APT 519",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282096225",
            "telephone_number": "717-419-9150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 MOCKINGBIRD LN APT 519",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282096225",
            "telephone_number": "717-419-9150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8215 Forest Point Blvd Ste 150",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282730219",
            "country_code": "US",
            "telephone_number": "980-422-5887",
            "fax_number": "980-225-0025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MYERS",
        "first_name": "TYARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-13",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NC",
            "license": "4723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.