IndividualActive
Ty Evans
NPI 1104664663 · Behavior Technician · Long Beach, CA
Provider details
- NPI number
- 1104664663
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4300 Long Beach Blvd Ste 100
Long Beach, CA 90807-2008
Phone: (855) 223-7123
Street-level locationGet directions
Mailing address
Po Box 33568
San Diego, CA 92163-3568
Additional practice locations (1)
- 1400 Stine RdBakersfield, CA 93309-4186Phone: (661) 832-2132
Registry dates
- Enumerated
- 2024-07-18
- Last updated
- 2025-03-07
- Certified
- 2025-03-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.