Jeremiah Tyler Wylie
Behavior Technician

Address: 5075 Shoreham Pl, San Diego, CA 92122-5927
Phone: 6197011610

Jeremiah Tyler Wylie (NPI# 1013554492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1013554492
Entity Type Individual
Full Name Jeremiah Tyler Wylie
Gender Male
Practice Address 5075 Shoreham Pl
San Diego
CA 92122-5927
Practice Telephone 6197011610
Mailing Address 6662 Oakridge Rd
San Diego
CA 92120-2156
Mailing Telephone 6197011610
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2019-12-04
Last Update Date 2019-12-04

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 106S00000X Behavior Technician Behavioral Health & Social Service Providers CA

Taxonomy Information

Taxonomy Code 106S00000X
Grouping Behavioral Health & Social Service Providers
Classification Behavior Technician

Taxonomy Definition

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.
Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1801425533 Stephanie Lee Harmon Behavior Technician 12094 Daymark Ct, San Diego, CA 92131-3801 2020-04-04
1891322913 Sofia Stephanie Fernandez Behavior Technician 745 Reef Dr, San Diego, CA 92154-1535 2020-03-26
1407481534 Molly J Hallberg Behavior Technician 5188 Via Valarta, San Diego, CA 92124-1564 2020-03-09
1811522931 Dane Thoreson Behavior Technician 9606 Tierra Grande St Ste 201, San Diego, CA 92126-6501 2020-03-09
1558996165 Kayla Marsh Behavior Technician 12707 High Bluff Dr Ste 200, San Diego, CA 92130-2037 2020-03-04
1699308213 Sierra R Rodriguez Behavior Technician 4908 Juneberry Ct, San Diego, CA 92123-6435 2020-02-21
1992338941 Victoria Winters Behavior Technician 4037 Home Ave Apt 75, San Diego, CA 92105-5649 2020-02-18
1396378782 Maria Isabel Rosales Behavior Technician 1838 Sherbrooke St, San Diego, CA 92139-3972 2020-02-13
1588294722 Veronica Villanueva Behavior Technician 5044 Sterling Ct, San Diego, CA 92105-3633 2020-01-15
1609416965 Susan Cannon Behavior Technician 10680 Treena Street Suite 170, San Diego, CA 92131 2020-01-14
Find all providers in SAN DIEGO

Office Location

Street Address 5075 SHOREHAM PL
City SAN DIEGO
State CA
Zip Code 92122-5927

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1912561630 Neal Yacoo Pharmacist 9085 Judicial Drive #2137, San Diego, CA 92122 2019-04-29
1598242828 Gena Rachel Katzer Social Worker 3246 Willard St, San Diego, CA 92122 2018-07-19
1164919791 Janine Marie Battaglia Nurse Practitioner Scripps Health Express, 4350 La Jolla Villlage Drive Ste 130, San Diego, CA 92122 2018-04-19
1669991899 Lindsay Y Ditmars Pharmacist 7545 Charmant Dr. #1322, 1322, San Diego, CA 92122 2017-09-19
1154747103 Rebecca Jackson Nurse Practitioner 3655 Nobel Drive, Suite 660, Peak Health Solutions, San Diego, CA 92122 2014-03-14
1851726582 Grace Lorelei Allen Doula 2728 Nansen Avenue, San Diego, CA 92122 2013-09-12
1427301894 Barry Katzman, M.d., Inc., Apc Optometrist 4413 Lajolla Village Dr., Spc. P1, San Diego, CA 92122 2012-10-22
1912295361 Yingjian Liang Psychiatry & Neurology Gillman Drive 9500, San Diego, CA 92122 2011-07-19
1467775486 David Michael Trejo Psychologist 5080 Shoreham Place, Suite 103, San Diego, CA 92122 2010-03-04
1225369556 Jeffrey J Abrams Internal Medicine 3395 Willard St, San Diego, CA 92122 2010-01-27
Find all providers in zip 92122

Competitor

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City SAN DIEGO
Zip Code 92122

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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