Tillery, Anna
Tillery, Anna is an individual health care provider with primary practice located at 647 Brawley School Rd Ste 104 , Mooresville NC 28117-6876. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Tillery, Anna can be contacted via phone (704) 703-8588.Contact Information
Primary practice address
647 Brawley School Rd Ste 104
Mooresville NC 28117-6876
Phone: (704) 703-8588
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | ||
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 5446 | North Carolina |
Profile Details
| NPI number | 1649746413 |
|---|---|
| LBN Legal business name | Tillery, Anna |
| Credentials | MA, BCBA, LPA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 19th, 2018 |
| Last updated | Feb 15th, 2023 - about 3 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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