MEDICARE: TYLER JOSEPH HINRICHS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician	RBT-25-429810	CO

General Provider Information

NPI Number	:	1215805544
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TYLER JOSEPH HINRICHS

Provider Business Mailing Address
First Line	:	200 SUMMIT BLVD UNIT 362
Second Line	:
City	:	BROOMFIELD
State	:	CO
Zip	:	80021-8291
Country	:	US
Telephone Number	:	720-419-7413
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 SUMMIT BLVD UNIT 362
Second Line	:
City	:	BROOMFIELD
State	:	CO
Zip	:	80021-8291
Country	:	US
Telephone Number	:	720-419-7413
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/28/2025
Last Update Date	:	11/13/2025

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Directions to “ TYLER JOSEPH HINRICHS ” Practice Location

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