Tyler's Connected in Autism, LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

TYLER'S CONNECTED IN AUTISM, LLC

Practice address

3310 S Broadway Ave Ste 100M
Tyler, TX 75701-7818

Phone

(979) 551-5225

NPI assigned

Nov 25, 2024

Last updated

Nov 25, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Serena Marie Metzger

Title

Owner

Phone

(979) 551-5225

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1732492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732492800000",
    "number": "1891511838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3310 S BROADWAY AVE STE 100M",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757017818",
            "telephone_number": "979-551-5225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3310 S BROADWAY AVE STE 100M",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757017818",
            "telephone_number": "979-551-5225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TYLER'S CONNECTED IN AUTISM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-25",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A",
        "authorized_official_last_name": "METZGER",
        "authorized_official_first_name": "SERENA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "979-551-5225"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Tyler, TX
• Providers in Tyler, TX by specialty
• Behavior Analyst in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 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.