Most Relevant Information
Provider Data
| NPI Number: | 1003674391 |
| Provider Name: | TYLER JAMES BOX |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/11/2024 |
| Last Updated: | 03/11/2024 |
Provider Practice Location
21515 HAWTHORNE BLVD STE GL-100
TORRANCE
CA
905036501
Practice Location Phone/Fax
| Phone: | 4245712618 |
| Fax: |
Provider Mailing Location
21515 HAWTHORNE BLVD STE GL-100
TORRANCE
CA
905036501
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |