Individual provider Active NPI

Tyonna Medlin

  • Behavior Technician
  • Columbia, MD
National Provider Identifier
1871400952
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
12209 Little Patuxent Pkwy Apt H
Columbia, MD 21044-4528
Phone
(443) 301-2802
NPI assigned
Aug 25, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Primary

Addresses

Primary practice location

12209 Little Patuxent Pkwy Apt H
Columbia, MD 21044-4528

Mailing address

12209 Little Patuxent Pkwy Apt H
Columbia, MD 21044-4528
Phone (443) 301-2802

Other practice location 1

12209 Little Patuxent Pkwy Apt H
Columbia, MD 21044-4528
Phone (443) 301-2802

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1787616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1871400952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12209 LITTLE PATUXENT PKWY APT H",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210444528",
            "telephone_number": "443-301-2802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12209 LITTLE PATUXENT PKWY APT H",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210444528",
            "telephone_number": "443-301-2802"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12209 Little Patuxent Pkwy Apt H",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MD",
            "postal_code": "210444528",
            "country_code": "US",
            "telephone_number": "443-301-2802",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEDLIN",
        "first_name": "TYONNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-08-25",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.