Tyera Blackwell, BCBA is a
Behavior Analyst based in Dover, Delaware. Tyera Blackwell is licensed to practice in Delaware (license number 1-25-78811) and her current practice location is
100 Enterprise Pl Ste 1, Dover, Delaware. She can be reached at her office (for appointments etc.) via phone at
(302) 678-3353.
NPI number for Tyera Blackwell is 1376231795 and her current mailing address is 100 Enterprise Pl Ste 1, Dover, Delaware. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1376231795.
Healthcare Provider's Profile
Full Name | Tyera Blackwell |
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Gender | Female |
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Speciality | Behavior Analyst |
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Location | 100 Enterprise Pl Ste 1, Dover, Delaware |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1376231795
- Provider Enumeration Date: 04/25/2023
- Last Update Date: 05/09/2025
Medical Identifiers
Medical identifiers for Tyera Blackwell such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1376231795 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
103K00000X | Behavior Analyst | 1-25-78811 (Delaware) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tyera Blackwell is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Tyera Blackwell, BCBA 100 Enterprise Pl Ste 1, Dover, DE 19904-8202 Ph: () - | Tyera Blackwell, BCBA 100 Enterprise Pl Ste 1, Dover, DE 19904-8207 Ph: (302) 678-3353 |
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