Logan Tillman

NPI #1053122119 in Frankfort, Indiana

Provider Information

NPI Number: 1053122119
Entity Type: Individual
Name: Logan Tillman
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jan 17, 2025
Last Updated: Jan 17, 2025

Practice Location

Address: 850 DELPHI AVE
City: Frankfort
State: Indiana
ZIP Code: 46041-1115
Phone: (765) 670-6300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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