Active NPI
Tyler J Liberatore, MA, LBA, BCBA
- Behavior Analyst
- Houston, TX
National Provider Identifier
1215413463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1786
- Practice address
- 1001 Pineloch Dr Ste 400
Houston, TX 77062-2732 - Phone
- (281) 461-6888
- NPI assigned
- Jul 11, 2018
- Last updated
- Jul 11, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1786 | TX | Primary |
Addresses
Primary practice location
1001 Pineloch Dr Ste 400
Houston, TX 77062-2732
Mailing address
2010 Mabry Mill Rd
Houston, TX 77062-8045
Phone (832) 372-5851
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1786 | TX | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531267200000",
"number": "1215413463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2010 MABRY MILL RD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770628045",
"telephone_number": "832-372-5851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 PINELOCH DR STE 400",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770622732",
"telephone_number": "281-461-6888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIBERATORE",
"first_name": "TYLER",
"middle_name": "J",
"name_prefix": "Mr.",
"credential": "MA, LBA, BCBA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-07-11",
"last_updated": "2018-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "TX",
"license": "1786",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
- Voon P Liaw, M.D
- Winston R Liaw, MD
- Charles L Libby, PT
- Liberated Minds TX Counseling PLLC (Acceptance Path Counseling)
- Christine Liberatore, R.D.
- Shari Rachel Liberman, MD
- Liberty County Hospital District No 1 (Misty Willow Healthcare and Rehabilitation Center)
- Liberty County Hospital District No 1 (Highland Park Care Center)
- Liberty County Hospital District No 1 (Bridgecrest Rehabilitation Suites)
- Liberty County Hospital District No 1 (East View Healthcare)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.