P Praxis·MD
● Active Type 1 · Individual

MRS. Tyler Rowberry Moulton, BSBI

Behavior Technician·Shelley, ID· NPI 1861016339 · Enumerated 2020 · 5 years on NPI
Moulton is 1 of 6 behavior technician providers in Shelley and 1 of 1155 in Idaho.
NPI age
5 years
Enumerated 2020-06-01
Primary specialty
Behavior Technician
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2020-06-01
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 1155 active behavior technician providers in Idaho.

NPI age
5 years
↑ 3 yr above median (2 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
3% of peers hold subspecialties

NPI lifetime · 2020 → 2026

2020-06Enumerated in NPPES
2020 2026

Where they practice

Practice location
420 Cardinal Dr
Shelley, ID 832744925
📞 2083604210
Mailing address
420 Cardinal Dr
Shelley, ID 832744925
📞 2083604210

Specialties

  • Behavior Technician Primary
    The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state...
    taxonomy 106S00000X

Identifiers

TypeValueNotes
05 (ID) 6169

Practice context

Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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