NPI 1023615960 · live from the CMS NPI Registry
Tyler Travis Brimmer, MABA, BCBA, LBA
Behavior Analyst in Bowling Green, KY. National Provider Identifier 1023615960, active.
NPI record
| NPI | 1023615960 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 1220 Ashley Circle, Bowling Green, KY 42104 |
| Practice phone | 859-317-5985 |
| Mailing address | 1220 Ashley Cir, Bowling Green, KY 42104 |
| Enumerated | October 5, 2020 |
| Last updated | February 28, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | 1-24-70510 (KY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.