Juwan Lamont Tyler

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

1395 N McEwan St
Clare, MI 48617-1111

Phone

(989) 286-7707

NPI assigned

Jun 23, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1687478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687478400000",
    "number": "1205512407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 E BROOMFIELD ST APT CC4",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "488587009",
            "telephone_number": "313-646-1024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1395 N MCEWAN ST",
            "city": "CLARE",
            "state": "MI",
            "postal_code": "486171111",
            "telephone_number": "989-286-7707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYLER",
        "first_name": "JUWAN",
        "middle_name": "LAMONT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-23",
        "last_updated": "2023-06-23",
        "certification_date": "2023-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tendercare (Michigan) Inc. (Tendercare Clare)
• Kelly Jo Thume
• Jennifer Topham, CCC-SLP
• Robert L Townsend, DO
• Sarah Margaret Trommater, OD
• Macy V Tyler, LLMSW
• Cassidee Utterback, BCBA, M.ED.
• Robert Vanderbrook, M.D.
• Lisa Anne Velchansky, CMT
• Walgreen Co (Walgreens #11887)

• Behavior Technician in Clare, MI
• Providers in Clare, MI by specialty
• Behavior Technician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2023; 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.