Tyler Lea Keesecker

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-20-45292 Issued in FL

Practice address

2389 Oak Myrtle LN
Wesley Chapel, FL 33544-6328

Phone

(813) 862-3030

NPI assigned

Apr 10, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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": "1523318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1346747821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 INTERNATIONAL PKWY STE 200",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327465028",
            "telephone_number": "407-915-7729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2389 OAK MYRTLE LN",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335446328",
            "telephone_number": "813-862-3030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2701 University Square Dr",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336125513",
            "country_code": "US",
            "telephone_number": "813-981-0815",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12911 N Telecom Pkwy",
            "address_purpose": "LOCATION",
            "city": "Temple Terrace",
            "state": "FL",
            "postal_code": "336370907",
            "country_code": "US",
            "telephone_number": "813-553-7880",
            "fax_number": "813-522-6021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEESECKER",
        "first_name": "TYLER",
        "middle_name": "LEA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-10",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-20-45292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Firas Katmeh, DPM
• Kelli Katsimbrakis
• Elizabeth Kaufman, PA-C
• Austin Philip Kauten
• Richard F Kay, MD
• Quinn Sabrina Kelchner
• Iosif Kelesidis, MD, MSC
• Michael Francis Keller, RN, LMHC
• Michele L Keller
• Cheryl D Kent, D.C.

• Behavior Analyst in Wesley Chapel, FL
• Providers in Wesley Chapel, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.