Individual
EMILY TILDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3307 19TH AVE, FOREST GROVE, OR 97116-1909
(971) 348-3217
Mailing address
21600 OXNARD ST, WOODLAND HILLS, CA 91367-4976
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
ABA-IN-10217021
OR
Other
Enumeration date
12/22/2021
Last updated
12/22/2021
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