Individual
JULIA TILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1815 17TH ST NW APT 604, WASHINGTON, DC 20009-3216
(404) 907-6926
Mailing address
1815 17TH ST NW APT 604, WASHINGTON, DC 20009-3216
(404) 907-9266
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-17-26232
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
82-4768061
—
GA
Enumeration date
03/13/2018
Last updated
08/19/2021
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