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
1467099432 Lina Hong Behavior Technician 3731 6th Ave. Suite 100, San Diego, Ca 92103, San Diego, CA 92103 2019-12-09
1316582786 Zyanya Leticia Gloria Behavior Technician 10410 Baron Dr, San Diego, CA 92126-3218 2019-11-08
1194368704 Danielle Kim Behavior Technician 4435 Nobel Dr Unit 38, San Diego, CA 92122-1560 2019-10-26
1366084220 Julianna Lopez Behavior Technician 4280 Campus Ave, San Diego, CA 92103-2463 2019-10-11
1104477124 Lena Barbakh Behavior Technician 6664 Forum St, San Diego, CA 92111-3203 2019-09-20
1295386381 Ashley Lauren Baker Behavior Technician 2886 Mission Blvd Unit F, San Diego, CA 92109-8160 2019-09-20
1851943815 Diego Andre Sanchez Behavior Technician 4032 Valeta St Unit 325, San Diego, CA 92110-5816 2019-07-10
1144882945 Nicolette Leigh Richard Behavior Technician 500 W Broadway Ste 800, San Diego, CA 92101-3506 2019-07-01
1720647837 Shannon Bellanca Behavior Technician 2701 Midway Dr Unit 371141, San Diego, CA 92137-6110 2019-06-12
1861051922 Grace Getchell Behavior Technician 3978 Sorrento Valley Blvd. #100, San Diego, CA 92121 2019-06-11
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
1386087617 Megan M. Brown Dermatology 8899 University Lane, Suite 350, San Diego, CA 92122 2013-04-17
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
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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