Active NPI
Amy Michelle Tikalsky
- Behavior Technician
- St George, UT
National Provider Identifier
1710436019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-16-20935
- Practice address
- 321 N Mall Dr
Suite E102
St George, UT 84790-7302 - Phone
- (801) 910-8071
- NPI assigned
- Sep 27, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-16-20935 | UT | Primary |
Addresses
Primary practice location
321 N Mall Dr
Suite E102
St George, UT 84790-7302
Mailing address
351 S 500 W
Cedar City, UT 84720-3121
Phone (801) 910-8071
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 |
|---|---|---|---|
| RBT-16-20935 | UT | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474934400000",
"number": "1710436019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "351 S 500 W",
"city": "CEDAR CITY",
"state": "UT",
"postal_code": "847203121",
"telephone_number": "801-910-8071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "321 N MALL DR",
"address_2": "SUITE E102",
"city": "ST GEORGE",
"state": "UT",
"postal_code": "847907302",
"telephone_number": "801-910-8071"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIKALSKY",
"first_name": "AMY",
"middle_name": "MICHELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-27",
"last_updated": "2016-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "UT",
"license": "RBT-16-20935",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St George, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.