Individual
ALYSSA TILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
124 N CLARA AVE, DELAND, FL 32720-4202
(386) 795-5695
Mailing address
124 N CLARA AVE, DELAND, FL 32720-4202
(386) 795-5695
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/07/2024
Last updated
07/10/2026
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