NPI 1295380251

Tyler Jesse Doyon

Practitioner Behavior Technician South Portland, ME

Practice location

Address: 236 Gannett Dr, South Portland, ME 04106-6913
Phone: (207) 661-3600
Mailing address: 21600 Oxnard St STE 1800, Woodland Hills, CA 91367-7807

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X Licence 9190356 (ME)

Other Behavior Technician providers in Maine →

Registry record

NPI: 1295380251
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Aug 2019
Record last updated: 7 Aug 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.