Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mary Tyner

Individual provider Behavior Technician · NPI 1366053969

Mary Tyner is a Behavior Technician in LA Vista, Nebraska. Practices as a sole proprietor. Licensed in Nebraska.

Licensed in
NE
In the registry since
2020
Specialties on file
2

Practice location Address checks out

10748 Virginia Plz Ste 107
LA Vista, NE 68128-3265
Phone: (402) 933-4411
Fax: (888) 507-5931
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 4463 (NE)
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1366053969
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 17, 2020
Last updated in NPPESMarch 9, 2026
Certification dateMarch 9, 2026
Mailing address2205 Lucille Dr, Bellevue, NE 68147-2504

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