Tyric Awosanya
Individual provider Active NPI Behavior Technician · Sumter, SC
NPI 1831900570 · NPPES record last updated Jan 14, 2025
Key facts
- NPI
- 1831900570
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 738 W Liberty St Ste B
Sumter, SC 29150-4745 - Phone
- (803) 757-1744
- NPI assigned
- Jan 14, 2025
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| ABA Depot LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
738 W Liberty St Ste B
Sumter, SC 29150-4745
Mailing address
738 W Liberty St Ste B
Sumter, SC 29150-4745
Phone (803) 757-1744
Other providers in Sumter, SC
- Jordan Atkinson
- Kelly C. Atkinson
- James Arthur Atkison
- Jenna Avins
- Diane Ngamia Awa
- Rebecca Anne Axson
- Ryan Ayers
- Sherri J Babb
- Ryan Patrick Bagnal
- Mary Baird
All providers in Sumter, SC · Behavior Technician in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 14, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.