Individual
TYLER DALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
800 E 101ST TER, KANSAS CITY, MO 64131-5322
(816) 371-4180
Mailing address
8762 BURTON AVE, SAINT LOUIS, MO 63114-4916
(314) 651-0444
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/03/2025
Last updated
11/03/2025
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