Tyler J Beach
Tyler J Beach is a Behavior Technician in Detroit, Michigan. Licensed in Missouri. Registered with an NPI since 2021.
- Licensed in
- MO
- In the registry since
- 2021
Practice location Address checks out
400 Renaissance Ctr Ste 2600Detroit, MI 48243-1502
Phone: (888) 922-2843
Fax: (855) 568-2494
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X · Licence B050041010 (MO) |
|---|
Record details
| NPI number | 1295497949 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | October 11, 2021 |
| Last updated in NPPES | October 15, 2021 |
| Certification date | October 15, 2021 |
| Mailing address | 18726 S Western Ave, Gardena, CA 90248-3813 |
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