Active NPI
Tyler Alia Wyche, BCABA
- Assistant Behavior Analyst
- Pensacola, FL
National Provider Identifier
1902364490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assistant Behavior Analyst
- License
- 0-24-15301
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beyond Expectations Inc. | Current | 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.
-
- Behavior Analyst
- Shalimar, FL
- NPI 1639847858
-
- Behavior Analyst
- Kissimmee, FL
- NPI 1639825557
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.