Individual
TIMOTHY LILLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
17709 BACKBONE RD, PARKTON, MD 21120-9649
(443) 827-1425
Mailing address
17709 BACKBONE RD, PARKTON, MD 21120-9649
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/20/2016
Last updated
07/11/2022
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