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

Tylare Black

Individual provider Behavior Technician · NPI 1578328076

Tylare Black is a Behavior Technician in El Dorado Hills, California. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

5170 Golden Foothill Pkwy # 143
El Dorado Hills, CA 95762-9608
Phone: (916) 280-1351
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1578328076
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 14, 2024
Last updated in NPPESFebruary 14, 2024
Certification dateFebruary 14, 2024

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