Provider Demographics
NPI:1750765251
Name:SCHEXNAYDER, TYLER BRADLY (BA)
Entity type:Individual
Prefix:
First Name:TYLER
Middle Name:BRADLY
Last Name:SCHEXNAYDER
Suffix:
Gender:M
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:340 32ND ST
Mailing Address - Street 2:APT 304
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-0912
Mailing Address - Country:US
Mailing Address - Phone:206-450-4542
Mailing Address - Fax:
Practice Address - Street 1:340 32ND ST
Practice Address - Street 2:APT 304
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-0912
Practice Address - Country:US
Practice Address - Phone:206-450-4542
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-14
Last Update Date:2015-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACG60574482103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst