Individual provider Active NPI

Tyler Alia Wyche, BCABA

  • Assistant Behavior Analyst
  • Pensacola, FL
National Provider Identifier
1902364490
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assistant Behavior AnalystTaxonomy code 106E00000X
License
0-24-15301 Issued in FL
Practice address
401 E Chase St Ste 200
Pensacola, FL 32502-6160
Phone
(850) 362-6824
NPI assigned
Mar 4, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assistant Behavior Analyst 106E00000X 0-24-15301 FL Primary

Addresses

Primary practice location

401 E Chase St Ste 200
Pensacola, FL 32502-6160

Mailing address

15 10TH Ave
Shalimar, FL 32579-1340
Phone (850) 362-6824

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Beyond Expectations Inc. CurrentSince Sep 15, 2024 Accepting new patients
Pinnacle International Therapy Center LLC Past Accepting new patients

Locations

15 10th Ave
Shalimar, FL 32579
Phone (850) 362-6842

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1551657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1902364490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 10TH AVE",
            "city": "SHALIMAR",
            "state": "FL",
            "postal_code": "325791340",
            "telephone_number": "850-362-6824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E CHASE ST STE 200",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325026160",
            "telephone_number": "850-362-6824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYCHE",
        "first_name": "TYLER",
        "middle_name": "ALIA",
        "credential": "BCABA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-04",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "FL",
            "license": "0-24-15301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.