Individual
AMBER CORRIN TILLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7905 L ST STE 230, OMAHA, NE 68127-1732
(402) 512-4296
(866) 726-5366
Mailing address
16941 N EAGLE RIVER LOOP RD, EAGLE RIVER, AK 99577-7824
(907) 726-5330
(907) 726-5366
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-18-60817
NC
Other
Enumeration date
05/09/2019
Last updated
01/16/2020
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