Tyler Decarlo Edwards
Behavior Technician in Alexandria, VA. Individual provider (NPI-1).
NPI number1114409356
StatusActive
Last updated in NPPESSep 4, 2018
Details
- NPI
- 1114409356
- Entity type
- Individual (NPI-1)
- Name
- Mr. Tyler Decarlo Edwards
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 4, 2018
- Last updated
- Sep 4, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | VA | Yes |
Practice location
4875 Eisenhower Ave Ste 210Alexandria, VA 22304-4833
Phone 571-290-0143
Mailing address
21600 Oxnard StWoodland Hills, CA 91367-4976
Phone 818-345-2345
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 472 Behavior Technician providers in Alexandria · All 7,601 providers in Alexandria
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