Tyler C Womack

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-24-337709 Issued in GA

Practice address

3623 Calvin Dr
Columbus, GA 31904-7915

Phone

(706) 940-5100

NPI assigned

Feb 27, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Behavioral Science Center, LLC

  • Behavior Analyst
  • Columbus, GA
  • NPI 1336705961
  NPD

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

{
    "created_epoch": "1708992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712534400000",
    "number": "1851157804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9793 YELLOW PINE RD",
            "city": "MIDLAND",
            "state": "GA",
            "postal_code": "318204154",
            "telephone_number": "706-442-4422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3623 CALVIN DR",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319047915",
            "telephone_number": "706-940-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOMACK",
        "first_name": "TYLER",
        "middle_name": "C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-27",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "GA",
            "license": "RBT-24-337709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carole Wolf
• Max Wolf, MD
• Luther H Wolff III, M.D.
• Monica Wolff, RBT
• Shaunakay Wollaston, MD
• John S Womble, DO
• Womencare PC
• Womens Medical Services
• Christopher T Wommack, MD
• Wonderfully Made Women'S Health Physical Therapy & Wellness, LLC

• Behavior Technician in Columbus, GA
• Providers in Columbus, GA by specialty
• Behavior Technician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.