Individual
TYLER RE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, BCBA, LBA
Contact information
Practice address
10330 HICKMAN MILLS DR, KANSAS CITY, MO 64137-1618
(816) 994-2600
(816) 777-0626
Mailing address
10330 HICKMAN MILLS DR, KANSAS CITY, MO 64137-1618
(816) 994-2600
(816) 777-0626
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2012027326
MO
Other
Enumeration date
09/04/2013
Last updated
09/04/2013
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