Rebecca S Tytke, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-17-26193

Practice address

9608 N Palafox St
Pensacola, FL 32534-1221

Phone

(850) 332-7437

Fax

(850) 466-2488

NPI assigned

Oct 12, 2017

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

Other identifiers 1

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": "1507766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507766400000",
    "number": "1578074902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9608 N PALAFOX ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325341221",
            "telephone_number": "850-332-7437",
            "fax_number": "850-466-2488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9608 N PALAFOX ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325341221",
            "telephone_number": "850-332-7437",
            "fax_number": "850-466-2488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYTKE",
        "first_name": "REBECCA",
        "middle_name": "S",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-12",
        "last_updated": "2017-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-17-26193",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEHAVIOR ANALYST CERTIFICATION BOARD",
            "identifier": "1-17-26193",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jillian Tyler, DO
• Tyra Loriz DMD
• Andre Tyree
• Lynda Kay Tyson, PH.D.
• Rasheda Juandrell Tyson
• Jarvis Arthur Tzeng, D.O.
• Sharda Udassi, MD
• Obinna N Ugochukwu, M.D
• David Ulery, DO
• Peggy A Ulery, CRNA

• Behavior Analyst in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2017; 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.