Tyler Large Valid NPI
Individual provider · Behavior Technician · Alpine, CA
- NPI
- 1093429441
- Type
- Individual (Type 1)
- Primary specialty
- Behavior Technician
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 106S00000X
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2023-01-10
- Last updated
- 2023-01-10
Practice location
2120 Alpine Blvd
Alpine, CA 91901-2113
(619) 445-2644