Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Charles L Tilley Jr.

Individual provider Behavior Technician · NPI 1316467798

Charles L Tilley Jr. is a Behavior Technician in Shreveport, Louisiana. Registered with an NPI since 2017.

In the registry since
2017

Practice location Address checks out

4642 Bethume Dr
Shreveport, LA 71109-6634
Phone: (318) 532-2204
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1316467798
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 26, 2017
Last updated in NPPESJune 26, 2017

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