Autumn Tillack
Behavior Technician in Tooele, UT. Individual provider (NPI-1).
NPI number1982256004
StatusActive
Last updated in NPPESJul 9, 2019
Details
- NPI
- 1982256004
- Entity type
- Individual (NPI-1)
- Name
- Autumn Tillack
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 9, 2019
- Last updated
- Jul 9, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
464 N 100 ETooele, UT 84074-1805
Phone 435-830-8394
Mailing address
464 N 100 ETooele, UT 84074-1805
Phone 435-830-8394
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Other Behavior Technician providers in Tooele, UT
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- Alexis Brogdon, RBTNPI 1235002536
- Ada GoodworthNPI 1417405614
- Jessica GoodworthNPI 1215440748
- Lacey GuestNPI 1114674314
- Martha T Hansen, RBTNPI 1396389409
- Archer HillNPI 1588395016
- Cristy HillNPI 1982140216
- Carin Renee JamesNPI 1417565052
- Dani JohnsonNPI 1891565503
All 26 Behavior Technician providers in Tooele · All 746 providers in Tooele
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