Individual
ASHLEY TILLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
2700 HIGHWAY 34 E STE 100, NEWNAN, GA 30265-2315
(470) 394-0004
Mailing address
3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 46268-6135
(855) 324-0885
(317) 520-8200
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-176254
GA
Other
Enumeration date
07/23/2021
Last updated
12/09/2022
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