- Practice location
- 9802 Nicholas St Ste 395, Omaha, NE 68114-2168
- Phone
- 402-252-1363
- Fax
- —
- Last updated
- October 28, 2026
Tyshan Kelley is a Behavior Technician based in Omaha, NE. Tyshan Kelley practices in Omaha, NE. The NPI Number for Tyshan Kelley is 1104724327. The current practice location address for Tyshan Kelley is 9802 Nicholas St Ste 395, Omaha, NE 68114-2168 and can be reached out via phone at 402-252-1363.
Provider Profile Details
- NPI Number
- 1104724327
- Provider Name
- Tyshan Kelley
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 9802 Nicholas St Ste 395, Omaha, NE 68114-2168
- Phone Number
- 402-252-1363
- Primary Taxonomy
- Behavior Technician · 106S00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 28, 2026
- Last Update Date
- October 28, 2026
- Certification Date
- October 28, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 9802 Nicholas St Ste 395
Omaha, NE 68114-2168 - City
- Omaha
- State
- Nebraska
- Zip
- 68114-2168
- Phone Number
- 402-252-1363
Provider Business Mailing Address Details
- Address
- 185 Route 70 Ste 302
Toms River, NJ 08755-0911 - City
- Toms River
- State
- NJ
- Zip
- 08755-0911
License Information
- Taxonomy
- Behavior Technician · 106S00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Tyshan Kelley?
The NPI number of Tyshan Kelley is 1104724327. It was assigned on October 28, 2026 and is currently active in the NPPES registry.
What is the specialty of Tyshan Kelley?
Tyshan Kelley is registered under the primary taxonomy Behavior Technician (code 106S00000X).
Where does Tyshan Kelley practice?
The practice location is 9802 Nicholas St Ste 395, Omaha, NE 68114-2168. The office can be reached at 402-252-1363 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104724327 directly on the NPPES registry website.