Provider Demographics
NPI:1740022979
Name:STECKMAN-STEELMAN, TYLER CHASE
Entity type:Individual
Prefix:
First Name:TYLER
Middle Name:CHASE
Last Name:STECKMAN-STEELMAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10721 WILLIAMS ST
Mailing Address - Street 2:
Mailing Address - City:LAMONT
Mailing Address - State:CA
Mailing Address - Zip Code:93241-2225
Mailing Address - Country:US
Mailing Address - Phone:661-624-2274
Mailing Address - Fax:
Practice Address - Street 1:10721 WILLIAMS ST
Practice Address - Street 2:
Practice Address - City:LAMONT
Practice Address - State:CA
Practice Address - Zip Code:93241-2225
Practice Address - Country:US
Practice Address - Phone:661-624-2274
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-10
Last Update Date:2024-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician