Individual
TYLER ALIA WYCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCABA
Contact information
Practice address
401 E CHASE ST STE 200, PENSACOLA, FL 32502-6160
(850) 362-6824
Mailing address
15 10TH AVE, SHALIMAR, FL 32579-1340
(850) 362-6824
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-24-15301
FL
Other
Enumeration date
03/04/2019
Last updated
09/11/2024
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