Tyla Josephine Edwards

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

F6888433 Issued in CA

Practice address

2421 Washburn Way Ste 2631
Klamath Falls, OR 97603-4525

Phone

(541) 885-1675

NPI assigned

Jun 18, 2019

Sex

Female

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1560816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560816000000",
    "number": "1447810924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2418 VINE AVE",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976013564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2421 WASHBURN WAY STE 2631",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976034525",
            "telephone_number": "541-885-1675"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2418 Vine Ave",
            "address_purpose": "LOCATION",
            "city": "Klamath Falls",
            "state": "OR",
            "postal_code": "976013564",
            "country_code": "US",
            "telephone_number": "530-925-3114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "TYLA",
        "middle_name": "JOSEPHINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-18",
        "last_updated": "2019-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": "F6888433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tammi Edge
• Matthew Sean Edmonds, M.D.
• Edward L Van Tassel DO PC
• Brandon Lee Edwards, PA-C
• Robert Norfleet Edwards, M.D.
• Kandis Ege
• Joann Davidson Eiman, PA
• Aaron Ashruf El-Dinary
• Jennifer Lynell Elder
• Eldorado Heights Assisted Living Communities LLC

• Behavior Technician in Klamath Falls, OR
• Providers in Klamath Falls, OR by specialty
• Behavior Technician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2019; 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.