Provider Demographics
NPI:1881589216
Name:HARWOOD, TYLER
Entity type:Individual
Prefix:
First Name:TYLER
Middle Name:
Last Name:HARWOOD
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 1:9421 244TH ST SW APT G202
Mailing Address - Street 2:
Mailing Address - City:EDMONDS
Mailing Address - State:WA
Mailing Address - Zip Code:98020-6557
Mailing Address - Country:US
Mailing Address - Phone:425-318-9322
Mailing Address - Fax:
Practice Address - Street 1:19023 36TH AVE W STE B
Practice Address - Street 2:
Practice Address - City:LYNNWOOD
Practice Address - State:WA
Practice Address - Zip Code:98036-5764
Practice Address - Country:US
Practice Address - Phone:425-293-2557
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-09
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician