DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TYLER WHITMAN BLACK, BA

Active

TYLER WHITMAN BLACK, BA is a Behavior Technician healthcare provider located in PORTLAND, Oregon. NPI 1114697042 is currently active in the NPPES registry. Verify at CMS.

Behavior Technician · PORTLAND, OR

Registration Details

NPI Number
1114697042
Provider Type
Individual
Gender
Male
NPI Issued
Sep 13, 2021 (4.8771459462447 yrs)
Last Updated
Sep 13, 2021

Practice Information

Address
1827 NE 44TH AVE STE 390
PORTLAND, OR, 972131461
Browse OR providers · Browse ZIP 97213
Phone
5039636494
Fax
5039636495
Primary Specialty
Behavior Technician
106S00000X

Other Behavior Technician Providers in PORTLAND, OR

Name Credential NPI
HIWOT BEKELE RPH 1053616854
VICTORIA MAXSON 1184040776
KIMBERLY FITZGERALD 1508283102
JASON ROBERT BAUER 1104221563
WESLEY GESINGER 1811383482
BRANDON BREWER 1356729313
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.