Thomas Lillis
Behavior Technician in Wichita Falls, TX. Individual provider (NPI-1).
NPI number1760149751
StatusActive
Last updated in NPPESNov 24, 2021
Details
- NPI
- 1760149751
- Entity type
- Individual (NPI-1)
- Name
- Thomas Lillis
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 24, 2021
- Certification date
- Nov 24, 2021
- Last updated
- Nov 24, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | RBT-21-193785 | – | Yes |
Practice location
4084 Regent DrWichita Falls, TX 76308-1508
Phone 940-228-5297 · Fax 940-500-4025
Mailing address
4084 Regent DrWichita Falls, TX 76308-1508
Phone 940-228-5297 · Fax 940-500-4025
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