Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANSLEY MADISON TILLMAN
ActiveANSLEY MADISON TILLMAN is a Behavior Technician healthcare provider located in LAKE PARK, Georgia. NPI 1861203762 is currently active in the NPPES registry. Verify at CMS.
Behavior Technician · LAKE PARK, GA
Registration Details
- NPI Number
- 1861203762
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 20, 2025 (1.5825831872192 yrs)
- Last Updated
- Mar 4, 2025
- License
-
RBT-22-242788 (GA)
Practice Information
- Address
-
406 JACKSON CIRLAKE PARK, GA, 316364928Browse GA providers · Browse ZIP 31636
- Phone
- 2292515589
- Primary Specialty
-
Behavior Technician
106S00000X
Other Behavior Technician Providers in LAKE PARK, GA
| Name | Credential | NPI |
|---|---|---|
| CARLENE HAYNES | RBT | 1255146676 |
| KATE CAROLINE HAIRE | — | 1417755893 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.