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

Jesse Tully

Individual provider Behavior Technician · NPI 1477369692

Jesse Tully is a Behavior Technician in Vancouver, Washington. Licensed in Washington. Registered with an NPI since 2024.

Licensed in
WA
In the registry since
2024

Practice location Address checks out

16821 SE McGillivray Blvd Ste 100
Vancouver, WA 98683-0401
Phone: (360) 818-9593
Fax: (360) 828-1001
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence CB61633464 (WA)

Record details

NPI number1477369692
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 4, 2024
Last updated in NPPESDecember 4, 2024
Certification dateDecember 4, 2024
Mailing address16821 Se McGillivray Blvd Ste 100, Vancouver, WA 98683-0401

Other providers in Vancouver