Tynesha Lasha Bejoile, BT

Individual provider Active NPI Behavior Technician · O Fallon, IL

NPI 1316802416 · NPPES record last updated Dec 30, 2025

Key facts

NPI
1316802416
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
634 N Main St Ste 4
O Fallon, IL 62269-3746
Phone
(618) 726-5870
NPI assigned
Dec 19, 2025
Sex
Female
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Bachelor of Theology

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X IL Yes

Addresses

Primary practice location

634 N Main St Ste 4
O Fallon, IL 62269-3746

Mailing address

996 Royal Marco Way
Marco Island, FL 34145-1829

Other providers in O Fallon, IL

All providers in O Fallon, IL · Behavior Technician in Illinois

Sources for this page

Verify at the official NPI Registry.