Michelle Lynn Tillery

NPI #1003419425 in Sutter Creek, California

Provider Information

NPI Number: 1003419425
Entity Type: Individual
Name: Michelle Lynn Tillery
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Nov 18, 2020
Last Updated: Nov 18, 2020

Practice Location

Address: 210 JUDY DR
City: Sutter Creek
State: California
ZIP Code: 95685-4020
Phone: (916) 618-3790

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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