Lauren Marie Tyler, MA, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

7401001585 Issued in MI

Practice address

1 Heritage Dr Ste 100
Southgate, MI 48195-3047

Phone

(734) 767-2250

NPI assigned

Jul 23, 2014

Sex

Female

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

State licenses

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

{
    "created_epoch": "1406073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697500800000",
    "number": "1760890735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HERITAGE DR STE 100",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481953047",
            "telephone_number": "734-767-2250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HERITAGE DR STE 100",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481953047",
            "telephone_number": "734-767-2250"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3101 S Gulley Rd Ste F-G",
            "address_purpose": "LOCATION",
            "city": "Dearborn",
            "state": "MI",
            "postal_code": "481244406",
            "country_code": "US",
            "telephone_number": "734-407-2500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TYLER",
        "first_name": "LAUREN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "MA, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-23",
        "last_updated": "2023-10-17",
        "certification_date": "2021-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MI",
            "license": "7401001585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Lachelle Turner
• Adrieanna Turrill
• Ashish Tyagi, PHARMACIST
• Delores Usher Tyburczyk, TLLP
• Maegan Tye
• Allison Lynn Tyrna
• Marina Tyson
• Annett Uduji
• Naeem Ugharadar
• Lucas James Underwood

• Behavior Analyst in Southgate, MI
• Providers in Southgate, MI by specialty
• Behavior Analyst in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; 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.