Autumn Tillack
Autumn Tillack is a Behavior Technician in Tooele, Utah. Registered with an NPI since 2019.
- In the registry since
- 2019
Practice location Address checks out
464 N 100 ETooele, UT 84074-1805
Phone: (435) 830-8394
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1982256004 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | July 9, 2019 |
| Last updated in NPPES | July 9, 2019 |
| Mailing address | 464 N 100 E, Tooele, UT 84074-1805 |
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