Individual
CHANTEL TILLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7090 SAMUEL MORSE DR STE 100, COLUMBIA, MD 21046-3444
(412) 606-4566
Mailing address
7090 SAMUEL MORSE DR STE 100, COLUMBIA, MD 21046-3444
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/13/2022
Last updated
06/13/2022
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