Tyler Michael Kuethman, MA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-24-74189 Issued in FL

Practice address

18966 SE Old Trail Dr W
Jupiter, FL 33478-1818

Phone

(561) 214-0375

Fax

(561) 214-0375

NPI assigned

Jun 7, 2021

Sex

Male

Sole proprietor

Yes

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

Credentials

Master of Arts

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lighthouse Community Services Inc

  • Behavior Analyst
  • Jupiter, FL
  • NPI 1508418872
  NPD
• Royal Paradise Cente LLC

  • Behavior Analyst
  • West Palm Beach, FL
  • NPI 1568952133
  NPD (past)

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

{
    "created_epoch": "1623024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738800000000",
    "number": "1265009476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18966 SE OLD TRAIL DR W",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334781818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18966 SE OLD TRAIL DR W",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334781818",
            "telephone_number": "561-214-0375",
            "fax_number": "561-214-0375"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 N Military Trl Ste 304",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334316324",
            "country_code": "US",
            "telephone_number": "954-579-7973",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUETHMAN",
        "first_name": "TYLER",
        "middle_name": "MICHAEL",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-07",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-24-74189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Kramer, LMHC
• Shauna K Kranendonk, M.D.
• Luciana V Kremser, PA-C
• Anup Kubal, M.D.
• Mark Kubiliun, D.D.S.
• Kulig & Associates Inc
• Martha Ann Kulig, LCSW
• Reshma Kunchu
• Marvin A Kupersmit, DO
• Kure Mobile Medical

• All providers in Jupiter, FL
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2025; 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.