Active NPI
Tristan Lyle
- Behavior Analyst
- Highlands Ranch, CO
National Provider Identifier
1417538471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 630 Plaza Dr Ste 100
Highlands Ranch, CO 80129-2379 - Phone
- (720) 470-0578
- NPI assigned
- Apr 20, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | CO | Primary | |
| Behavior Technician | 106S00000X | BACB534902 | AZ |
Addresses
Primary practice location
630 Plaza Dr Ste 100
Highlands Ranch, CO 80129-2379
Mailing address
300 International Pkwy Ste 200
Lake Mary, FL 32746-5028
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BACB534902 | AZ | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779753600000",
"number": "1417538471",
"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"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "630 PLAZA DR STE 100",
"city": "HIGHLANDS RANCH",
"state": "CO",
"postal_code": "801292379",
"telephone_number": "720-470-0578"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYLE",
"first_name": "TRISTAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-04-20",
"last_updated": "2026-05-26",
"certification_date": "2026-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CO",
"license": null,
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "AZ",
"license": "BACB534902",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Highlands Ranch, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.