Michelle Lynn Tillery
Behavior Technician
210 Judy Dr
Sutter Creek
, California 95685-4020
Michelle Lynn Tillery
Behavior Technician
210 Judy Dr
Sutter Creek
, California 95685-4020
(916) 729-3098
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About
Features
Specialties
- Behavior Technician
Languages spoken
- English
Location
First Address
- Michelle Lynn Tillery
- 6400 Tupelo Dr
- Citrus Heights, CA
- Zip : 95621-1741
- Phone : (916) 729-3098
Second Address
- Michelle Lynn Tillery
- 210 Judy Dr
- Sutter Creek, CA
- Zip : 95685-4020
- Phone : (916) 618-3790
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician |
National Provider Identifier
| NPI | 1003419425 |
|---|---|
| Provider Name | Michelle Lynn Tillery |
| First Address | Citrus Heights, CA 95621-1741 |
| Second Address | Sutter Creek, CA 95685-4020 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/11/2020 |
| Last Update Date | 18/11/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.