Individual
JORDAN TILLINGHAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5021 LOUISE DR STE C, MECHANICSBURG, PA 17055-9801
(484) 393-4107
(484) 231-8631
Mailing address
640 FREEDOM BUSINESS CTR DR STE 220, KING OF PRUSSIA, PA 19406-1376
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH007634
PA
106S00000X
Behavior Technician
Primary
RBT-22-202647
PA
Other
Enumeration date
01/16/2024
Last updated
03/06/2026
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