Individual
JASMINE LATRIECE TILLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
TLLP, BCBA, LBA
Contact information
Practice address
27777 INKSTER RD STE 100, FARMINGTON HILLS, MI 48334-5312
(248) 201-1990
Mailing address
27777 INKSTER RD STE 100, FARMINGTON HILLS, MI 48334-5312
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
7401002219
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
386004894
—
MI
Enumeration date
03/16/2018
Last updated
09/09/2025
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