Individual provider Active NPI

Tyler Brandon Cook

  • Behavior Analyst
  • Port St Lucie, FL
National Provider Identifier
1316522121
Registry record updated Dec 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-25-81694 Issued in FL
Practice address
1801 SE Hillmoor Dr Ste B101-103
Port St Lucie, FL 34952-7553
Phone
(772) 463-0444
Fax
(772) 219-1339
NPI assigned
Mar 12, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-25-81694 FL Primary
Behavior Technician 106S00000X 23-255890

Addresses

Primary practice location

1801 SE Hillmoor Dr Ste B101-103
Port St Lucie, FL 34952-7553

Mailing address

2041 Dogwood St NE
Palm Bay, FL 32907-2550
Phone (717) 747-6302

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

Practice roles

OrganizationSpecialtyStatusNew patients
Behavior Basics, Incorporated CurrentSince Aug 6, 2023 Accepting new patients
Behavior Basics, Incorporated Behavior Analyst CurrentSince Aug 6, 2023 Accepting new patients

Locations

1801 SE Hillmoor Dr
Ste B101103
Port St Lucie, FL 34952
Phone (321) 425-3231

1887 SE Port St Lucie Blvd
Port St Lucie, FL 34952
Phone (786) 259-5333

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1615507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767052800000",
    "number": "1316522121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2041 DOGWOOD ST NE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329072550",
            "telephone_number": "717-747-6302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 SE HILLMOOR DR STE B101-103",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349527553",
            "telephone_number": "772-463-0444",
            "fax_number": "772-219-1339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "TYLER",
        "middle_name": "BRANDON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-12",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-25-81694",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": "23-255890",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.