Tiller, Julia

Tiller, Julia is an individual health care provider with primary practice located at 1815 17Th St Nw Apt 604 , Washington DC 20009-3216. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Tiller, Julia can be contacted via phone (404) 907-6926.

Contact Information

Primary practice address
1815 17Th St Nw Apt 604 Washington DC 20009-3216
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-17-26232

Profile Details

NPI number 1114420460
LBN Legal business name Tiller, Julia
Credentials BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 13th, 2018
Last updated Aug 19th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114420460 NPPES
Georgia MEDICAID 82-4768061

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