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NPI Code Detail

MEDICARE: TYLER BRADLY SCHEXNAYDER B.A.

MEDICARE: TYLER BRADLY SCHEXNAYDER B.A.
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
1106E00000XAssistant Behavior AnalystAB61519023WA

General Provider Information

NPI Number : 1750765251
Entity Type Code : Individual
Provider Name (Legal Business Name) : TYLER BRADLY SCHEXNAYDER B.A.
Provider Business Mailing Address
First Line : 308 SUDDEN VALLEY DR
Second Line :
City : BELLINGHAM
State : WA
Zip : 98229-7651
Country : US
Telephone Number : 206-450-4542
Fax Number :
Provider Business Practice Location Address
First Line : 4201 MERIDIAN ST STE 113
Second Line :
City : BELLINGHAM
State : WA
Zip : 98226-5532
Country : US
Telephone Number : 360-305-3275
Fax Number : 360-734-5503
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2015
Last Update Date : 12/18/2025

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