CHARLES TILLEY JR.

Behavior Technician

Active Individual
NPI: 1316467798

Practice Address

4642 BETHUME DR
Shreveport, LA 71109

Phone: (318) 532-2204

Specialties

Specialty Code Primary License
Behavior Technician 106S00000X Yes -

Frequently Asked Questions

NPI 1316467798 is the National Provider Identifier for CHARLES TILLEY JR., a Behavior Technician provider located in Shreveport, LA. This NPI was enumerated on June 26, 2017.
CHARLES TILLEY JR. practices at 4642 BETHUME DR, Shreveport, LA 71109.

Quick Facts

NPI
1316467798
Type
Individual
Enumerated
Jun 26, 2017
Last Updated
Jun 26, 2017

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