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Individual

LILIANA TIMOTHY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4940 NORTHDALE BLVD, TAMPA, FL 33624-1075
(813) 485-8444
Mailing address
4940 NORTHDALE BLVD, TAMPA, FL 33624-1075

Taxonomy

Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-25-16360
FL
106S00000X
Behavior Technician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RBT-23-255551
RBT
Enumeration date
01/27/2023
Last updated
08/12/2025
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