Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AUTUMN TILLACK
ActiveAUTUMN TILLACK is a Behavior Technician healthcare provider located in TOOELE, Utah. NPI 1982256004 is currently active in the NPPES registry. Verify at CMS.
Behavior Technician · TOOELE, UT
Registration Details
- NPI Number
- 1982256004
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 9, 2019 (7.1075387869973 yrs)
- Last Updated
- Jul 9, 2019
Practice Information
- Address
-
464 N 100 ETOOELE, UT, 840741805Browse UT providers · Browse ZIP 84074
- Phone
- 4358308394
- Primary Specialty
-
Behavior Technician
106S00000X
Other Behavior Technician Providers in TOOELE, UT
| Name | Credential | NPI |
|---|---|---|
| ADA GOODWORTH | — | 1417405614 |
| CRISTY HILL | — | 1982140216 |
| JESSICA GOODWORTH | — | 1215440748 |
| DARIAN PAIGE SCOTT | RBT | 1114413994 |
| MICHELE GRACE RICHARDS | — | 1215416722 |
| MRS. DEANNA MICHELLE PARISH | — | 1821563040 |
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.