Individual
MR. TILLMAN R RICKETSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BCABA
Contact information
Practice address
5033 SULLIVANT AVE, COLUMBUS, OH 43228-1749
(855) 832-6727
Mailing address
2987 BAYSHORE DR, TALLAHASSEE, FL 32309-2251
(850) 980-6863
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
0-07-2340
FL
106E00000X
Assistant Behavior Analyst
Primary
0-07-2340
OH
Other
Enumeration date
02/05/2010
Last updated
10/23/2025
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