Individual provider Active NPI

Tyler Laney Brown

  • Behavior Analyst
  • Tulsa, OK
National Provider Identifier
1548878259
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-22-62872 Issued in OK
Practice address
6528 E 101St St Ste D1
Tulsa, OK 74133-6754
Phone
(918) 861-1662
NPI assigned
Jul 20, 2020
Last updated
Oct 31, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 5531 TX
Behavior Analyst 103K00000X 1-22-62872 OK Primary

Addresses

Primary practice location

6528 E 101St St Ste D1
Tulsa, OK 74133-6754

Mailing address

6528 E 101St St Ste D1
Tulsa, OK 74133-6754
Phone (918) 861-1662

Other practice location 1

308 N Aspen Ave
Broken Arrow, OK 74012-2205
Phone (539) 777-0940

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tyler.brown2@mindcolorautism.com Direct

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

Practice roles

OrganizationSpecialtyStatusNew patients
Brown Token Behavior LLC Current Accepting new patients
Teach Me LLC Behavior Analyst PastSince Aug 1, 2020 Accepting new patients
Therapy & Beyond Medical Management, LLC PastSince Aug 1, 2020 Accepting new patients

Locations

6528 E 101st St
Ste D1
Tulsa, OK 74133
Phone (918) 398-7170

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1595203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1548878259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6528 E 101ST ST STE D1",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741336754",
            "telephone_number": "918-861-1662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6528 E 101ST ST STE D1",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741336754",
            "telephone_number": "918-861-1662"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "308 N Aspen Ave",
            "address_purpose": "LOCATION",
            "city": "Broken Arrow",
            "state": "OK",
            "postal_code": "740122205",
            "country_code": "US",
            "telephone_number": "539-777-0940",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "TYLER",
        "middle_name": "LANEY",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-20",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "5531",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "OK",
            "license": "1-22-62872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tyler.brown2@mindcolorautism.com",
            "affiliation": "N",
            "endpointDescription": "Work Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Work",
            "address_1": "15102 I H 45 S",
            "city": "Conroe",
            "state": "TX",
            "country_code": "US",
            "postal_code": "773844104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; 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.