Jennifer Tilley
Individual provider Active NPI Behavior Technician · Cache, OK
NPI 1184492886 · NPPES record last updated Dec 29, 2023
Key facts
- NPI
- 1184492886
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 1303 Dahlia LN
Cache, OK 73527-7500 - Phone
- (559) 346-8523
- NPI assigned
- Dec 13, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
1303 Dahlia LN
Cache, OK 73527-7500
Mailing address
1303 Dahlia LN
Cache, OK 73527-7500
Phone (559) 346-8523
Other providers in Cache, OK
- Shelley Ricci
- Craig Alan Roberts
- Rose Garden Clinic, LLC
- Eric Paul Christian Rosenquist
- Bryan Swietek
- Tunnel Vision Recovery LLC
- Tunnel Vision Recovery LLC
- Melissa Zarraga
All providers in Cache, OK · Behavior Technician in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 29, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.