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

Keia Tillman

Individual provider Behavior Technician · NPI 1215695093

Keia Tillman is a Behavior Technician in Stone Mountain, Georgia. Practices as a sole proprietor. Registered with an NPI since 2021.

In the registry since
2021
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Practice location Address checks out

614 Woodcrest Manor Dr
Stone Mountain, GA 30083-6133
Phone: (678) 530-5477
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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 number1215695093
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 29, 2021
Last updated in NPPESNovember 29, 2021
Certification dateNovember 29, 2021
Mailing addressPo Box 399318, San Francisco, CA 94139-9318

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