Tyler James Hogan, MA, BCBA, MT-BC, NMT

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-16-23173

Practice address

5 Revere Dr
Suite 120
Northbrook, IL 60062-1566

Phone

(844) 247-7222

NPI assigned

Nov 18, 2013

Sex

Male

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

Credentials

Master of Arts

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

{
    "created_epoch": "1384732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474848000000",
    "number": "1467882142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 REVERE DR",
            "address_2": "SUITE 120",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600621566",
            "telephone_number": "844-247-7222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 REVERE DR",
            "address_2": "SUITE 120",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600621566",
            "telephone_number": "844-247-7222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOGAN",
        "first_name": "TYLER",
        "middle_name": "JAMES",
        "credential": "MA, BCBA, MT-BC, NMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-11-18",
        "last_updated": "2016-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225A00000X",
            "taxonomy_group": "",
            "desc": "Music Therapist",
            "state": null,
            "license": "10547 - MT-BC",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-16-23173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lee Hoffman-Paul, CCC-SLP
• Jaimie Arron Hoffman
• Justin Hoffman
• Twyla R Hoffman
• Savannah Hofmann
• Molly Ansel Hoisington, OTR/L
• Stephen Arlie Holcomb, DC
• Mirela Holic
• Holicare
• Holistic Psychealth, LLC

• Behavior Analyst in Northbrook, IL
• Providers in Northbrook, IL by specialty
• Behavior Analyst in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2016; 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.